Maris, Zaharoula

Maris, Zaharoula is an individual health care provider with primary practice located at 140 Hammond St , Port Jervis NY 12771-2607. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Maris, Zaharoula can be contacted via phone (845) 856-8813.

Contact Information

Primary practice address
140 Hammond St Port Jervis NY 12771-2607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049179-1 New York

Profile Details

NPI number 1962624569
LBN Legal business name Maris, Zaharoula
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jun 6th, 2019 - about 5 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 1962624569 NPPES
New York MEDICAID 2382896

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