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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740335405 NPPES
New Jersey MEDICAID 5518300

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