Mcloughlin, Judith

Mcloughlin, Judith is an individual health care provider with primary practice located at 1366 Victory Blvd , Staten Island NY 10301-3907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mcloughlin, Judith can be contacted via phone (718) 273-3400.

Contact Information

Primary practice address
1366 Victory Blvd Staten Island NY 10301-3907
Fax: (718) 727-3402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 190100 New York

Profile Details

NPI number 1013995190
LBN Legal business name Mcloughlin, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013995190 NPPES
New York MEDICAID 01663510

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