Masakayan, Adelaide Lu
Masakayan, Adelaide Lu is an sole proprietor health care provider with primary practice located at 112 Terryville Rd , Port Jefferson Station NY 11776-1329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Masakayan, Adelaide Lu can be contacted via phone (631) 209-2827.Contact Information
Primary practice address
112 Terryville Rd
Port Jefferson Station NY 11776-1329
Phone: (631) 209-2827
Fax: (631) 209-2829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 210204 | New York |
Profile Details
| NPI number | 1902970577 |
|---|---|
| LBN Legal business name | Masakayan, Adelaide Lu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Mar 16th, 2016 - about 9 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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