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Contact Information

MADONNA PHYSICIANS SERVICES PC
300 OLD COUNTRY RD
MINEOLA, NY11501
 Phone: 516-747-4616
 Fax: 516-747-4756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MADONNA PHYSICIANS SERVICES PC · (Female)

NPI Number 1073606992
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 135376
  • NY License # 217664
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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