Tita, Maureen Ann

Tita, Maureen Ann is an sole proprietor health care provider with primary practice located at 111 Seventh Street Suite 111, Garden City NY 11570. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tita, Maureen Ann can be contacted via phone (516) 639-1787.

Contact Information

Primary practice address
111 Seventh Street Suite 111 Garden City NY 11570
Phone: (516) 639-1787
Fax: (516) 594-5019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401075 New York
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 340084-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401075 New York

Profile Details

NPI number 1578670741
LBN Legal business name Tita, Maureen Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Oct 25th, 2011 - about 14 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 1578670741 NPPES
New York MEDICAID 01666971

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