Odnopozova, Mariya A

Odnopozova, Mariya A is an sole proprietor health care provider with primary practice located at 157-02 Crossbay Blvd. Medisys Family Care Center-Howard Beach, Howard Beach NY 11414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Odnopozova, Mariya A can be contacted via phone (718) 323-3591.

Contact Information

Primary practice address
157-02 Crossbay Blvd. Medisys Family Care Center-Howard Beach Howard Beach NY 11414
Phone: (718) 323-3591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 221688 New York

Profile Details

NPI number 1104933787
LBN Legal business name Odnopozova, Mariya A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Mar 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104933787 NPPES
New York MEDICAID 02196216

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