Nadal, Mayra
Nadal, Mayra is an individual health care provider with primary practice located at 27 Wicks Rd , Brentwood NY 11717-4213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nadal, Mayra can be contacted via phone (631) 231-5070.Contact Information
Primary practice address
27 Wicks Rd
Brentwood NY 11717-4213
Phone: (631) 231-5070
Fax: (631) 435-3288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 222213 | New York |
Profile Details
| NPI number | 1790781128 |
|---|---|
| LBN Legal business name | Nadal, Mayra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Oct 4th, 2011 - about 13 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 | 1790781128 | NPPES |
| New York | MEDICAID | 02404511 |
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