Moodhe, Carole Lysaght

Moodhe, Carole Lysaght is an sole proprietor health care provider with primary practice located at 2 Pro Health Plz , New Hyde Park NY 11042-1111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Moodhe, Carole Lysaght can be contacted via phone (516) 506-6885.

Contact Information

Primary practice address
2 Pro Health Plz New Hyde Park NY 11042-1111
Phone: (516) 506-6885
Fax: (516) 608-6824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 181854 New York

Profile Details

NPI number 1659440170
LBN Legal business name Moodhe, Carole Lysaght
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Oct 13th, 2009 - about 16 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 1659440170 NPPES
New York MEDICAID 01437714
New York Other 06399
New York Other 260AD1
New York Other 62K521
New York MEDICAID 00738981
New York Other AP603

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