Mailloux, Timothy

Mailloux, Timothy is an individual health care provider with primary practice located at 2380 Rockville Centre Pkwy , Oceanside NY 11572-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mailloux, Timothy can be contacted via phone (516) 764-9501.

Contact Information

Primary practice address
2380 Rockville Centre Pkwy Oceanside NY 11572-1621
Fax: (516) 764-0865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 140037 New York

Profile Details

NPI number 1215915145
LBN Legal business name Mailloux, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215915145 NPPES
New York MEDICAID 00485227

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