Berardo, Mayra

Berardo, Mayra is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berardo, Mayra can be contacted via phone (631) 425-2236.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Phone: (631) 425-2236
Fax: (631) 425-2142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 338866 New York

Profile Details

NPI number 1912312224
LBN Legal business name Berardo, Mayra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Jun 25th, 2014 - 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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