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
Fax: (914) 965-4724
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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 1376844282 NPPES
New York MEDICAID 03558707

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