Vazirani, Mala

Vazirani, Mala is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Vazirani, Mala can be contacted via phone (718) 470-7000.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006159 New York

Profile Details

NPI number 1790762987
LBN Legal business name Vazirani, Mala
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 18th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790762987 NPPES
New York MEDICAID 02353955

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