Maller, Andrea D.
Maller, Andrea D. is an individual health care provider with primary practice located at 2748 Hylan Blvd , Staten Island NY 10306-4658. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maller, Andrea D. can be contacted via phone (718) 979-2200.Contact Information
Primary practice address
2748 Hylan Blvd
Staten Island NY 10306-4658
Phone: (718) 979-2200
Fax: (718) 979-3435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006193-1 | New York |
Profile Details
NPI number | 1083780233 |
---|---|
LBN Legal business name | Maller, Andrea D. |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2006 |
Last updated | Feb 10th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083780233 | NPPES |
New York | Other | TUV006193-1 | LICENSE |
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