Myridakis, Dorothy
Myridakis, Dorothy is an sole proprietor health care provider with primary practice located at 1 Broadway Suite 203, Elmwood Park NJ 07407-1842. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Myridakis, Dorothy can be contacted via phone (973) 569-6250.Contact Information
Primary practice address
1 Broadway Suite 203
Elmwood Park NJ 07407-1842
Phone: (973) 569-6250
Fax: (973) 569-6270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA058605 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 25MA05860500 | New Jersey |
Profile Details
| NPI number | 1740335405 |
|---|---|
| LBN Legal business name | Myridakis, Dorothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | May 20th, 2024 - about 6 months 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 | 1740335405 | NPPES |
| New Jersey | MEDICAID | 5518300 |
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