Rali, Mayur S
Rali, Mayur S is an individual health care provider with primary practice located at 1869 Brentwood Road , Brentwood NY 11717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rali, Mayur S can be contacted via phone (631) 853-3400.Contact Information
Primary practice address
1869 Brentwood Road
Brentwood NY 11717
Phone: (631) 853-3400
Fax: (631) 853-3498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 254753 | New York |
Profile Details
| NPI number | 1750617239 |
|---|---|
| LBN Legal business name | Rali, Mayur S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2009 |
| Last updated | Apr 20th, 2012 - about 12 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 | 1750617239 | NPPES |
| New York | MEDICAID | 03419770 |
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