Odnopozova, Mariya A
Odnopozova, Mariya A is an sole proprietor health care provider with primary practice located at 157-02 Crossbay Blvd. Medisys Family Care Center-Howard Beach, Howard Beach NY 11414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Odnopozova, Mariya A can be contacted via phone (718) 323-3591.Contact Information
Primary practice address
157-02 Crossbay Blvd. Medisys Family Care Center-Howard Beach
Howard Beach NY 11414
Phone: (718) 323-3591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 221688 | New York |
Profile Details
| NPI number | 1104933787 |
|---|---|
| LBN Legal business name | Odnopozova, Mariya A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Mar 4th, 2014 - about 10 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 | 1104933787 | NPPES |
| New York | MEDICAID | 02196216 |
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