Nakamura, Mallory
Nakamura, Mallory is an individual health care provider with primary practice located at 4295 Hempstead Tpke , Bethpage NY 11714-5713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Nakamura, Mallory can be contacted via phone (516) 579-6000.Contact Information
Primary practice address
4295 Hempstead Tpke
Bethpage NY 11714-5713
Phone: (516) 579-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 024639 | New York |
Profile Details
| NPI number | 1558994574 |
|---|---|
| LBN Legal business name | Nakamura, Mallory |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2020 |
| Last updated | Dec 3rd, 2022 - about 3 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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