Peloso, Marie Azzu

Peloso, Marie Azzu is an individual health care provider with primary practice located at 165 N Village Ave Suite 215, Rockville Centre NY 11570-3761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peloso, Marie Azzu can be contacted via phone (516) 536-7200.

Contact Information

Primary practice address
165 N Village Ave Suite 215 Rockville Centre NY 11570-3761
Phone: (516) 536-7200
Fax: (516) 536-7208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 188138 New York

Profile Details

NPI number 1841290285
LBN Legal business name Peloso, Marie Azzu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 22nd, 2012 - 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 1841290285 NPPES
New York MEDICAID 01836819

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