Maldonado, Luis V

Maldonado, Luis V is an sole proprietor health care provider with primary practice located at 42 Fleetwood Rd , Commack NY 11725-1760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Maldonado, Luis V can be contacted via phone (631) 209-9430.

Contact Information

Primary practice address
42 Fleetwood Rd Commack NY 11725-1760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 199111-1 New York

Profile Details

NPI number 1619908639
LBN Legal business name Maldonado, Luis V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Apr 7th, 2015 - about 10 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 1619908639 NPPES
New York MEDICAID 01592209

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