Maida, Anthony
Maida, Anthony is an individual health care provider with primary practice located at 10 Fort Salonga Rd Ste 3 , Northport NY 11768-1400. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Maida, Anthony can be contacted via phone (631) 757-5588.Contact Information
Primary practice address
10 Fort Salonga Rd Ste 3
Northport NY 11768-1400
Phone: (631) 757-5588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 037788 | New York |
Profile Details
| NPI number | 1558548404 |
|---|---|
| LBN Legal business name | Maida, Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Nov 30th, 2020 - about 6 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 | 1558548404 | NPPES |
| New York | MEDICAID | 02101031 |
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