Malone, Reginald Martinez

Malone, Reginald Martinez is an sole proprietor health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 021986 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 021986 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9381 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 021986 New York

Profile Details

NPI number 1912404401
LBN Legal business name Malone, Reginald Martinez
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2018
Last updated Jun 5th, 2024 - about 5 months 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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