Stampelos, Maria Eliades

Stampelos, Maria Eliades is an individual health care provider with primary practice located at 8 Medical Drive , Port Jefferson Station NY 11776. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Stampelos, Maria Eliades can be contacted via phone (631) 928-8585.

Contact Information

Primary practice address
8 Medical Drive Port Jefferson Station NY 11776
Fax: (631) 928-8861
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 044157 New York

Profile Details

NPI number 1366581522
LBN Legal business name Stampelos, Maria Eliades
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366581522 NPPES
New York MEDICAID 02693474

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