Sullivan-Maloney, Maura Pegeen
Sullivan-Maloney, Maura Pegeen is an individual health care provider with primary practice located at 41-40 27Th Street , Long Island City NY 11101. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sullivan-Maloney, Maura Pegeen can be contacted via phone (718) 784-2240.Contact Information
Primary practice address
41-40 27Th Street
Long Island City NY 11101
Phone: (718) 784-2240
Fax: (914) 965-4724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 044120 | New York |
Profile Details
| NPI number | 1376844282 |
|---|---|
| LBN Legal business name | Sullivan-Maloney, Maura Pegeen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2010 |
| Last updated | Jun 15th, 2017 - about 8 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 | 1376844282 | NPPES |
| New York | MEDICAID | 03558707 |
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