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:
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Health care specialties

SpecialtyCodeLicense #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 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 1083780233 NPPES
New York Other TUV006193-1 LICENSE

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