Tetrokalashvili, Maggie

Tetrokalashvili, Maggie is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tetrokalashvili, Maggie can be contacted via phone (516) 572-6254.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Phone: (516) 572-6254
Fax: (516) 572-3124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 224627-1 New York

Profile Details

NPI number 1619944808
LBN Legal business name Tetrokalashvili, Maggie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Oct 12th, 2018 - about 8 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 1619944808 NPPES
New York MEDICAID 02660240

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