Malter, Ira Joel
Malter, Ira Joel is an individual health care provider with primary practice located at 1000 Montauk Highway , West Islip NY 11795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Malter, Ira Joel can be contacted via phone (631) 376-4027.Contact Information
Primary practice address
1000 Montauk Highway
West Islip NY 11795
Phone: (631) 376-4027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 116025 | New York |
Profile Details
| NPI number | 1437126547 |
|---|---|
| LBN Legal business name | Malter, Ira Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Aug 24th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437126547 | NPPES |
| New York | MEDICAID | 02532194 |
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