Maybank, Karen A
Maybank, Karen A is an sole proprietor health care provider with primary practice located at 225 Rabro Dr Office Of Minority Health, Hauppauge NY 11788-4241. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Maybank, Karen A can be contacted via phone (631) 853-5078.Contact Information
Primary practice address
225 Rabro Dr Office Of Minority Health
Hauppauge NY 11788-4241
Phone: (631) 853-5078
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 228477 | New York |
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 228477 | New York |
Profile Details
NPI number | 1104827773 |
---|---|
LBN Legal business name | Maybank, Karen A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 9th, 2005 |
Last updated | Oct 4th, 2007 - about 17 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 | 1104827773 | NPPES |
New York | MEDICAID | 02601114 |
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