Maksumova, Stella

Maksumova, Stella is an sole proprietor health care provider with primary practice located at 2291 Merrick Rd , Merrick NY 11566-4756. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Maksumova, Stella can be contacted via phone (516) 378-8222.

Contact Information

Primary practice address
2291 Merrick Rd Merrick NY 11566-4756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 024681 New York

Profile Details

NPI number 1932422011
LBN Legal business name Maksumova, Stella
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2010
Last updated Mar 3rd, 2010 - about 15 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 1932422011 NPPES
New York Other 024681 PHARMACIST LIC# IN NY

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