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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 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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