National Provider Identifier Database

LORA L MAMUYAC, AGPCNP – NPI #1275053142
Adult Health


Contact Information

LORA L MAMUYAC, AGPCNP
18 1ST AVE
HOLTSVILLE, NY11742-4208
Phone: 631-902-8439
Fax:
Website:
Specialty Taxonomy Code
* Adult Health 363LA2200X

* Indicates primary specialty

NPI Profile & details for LORA L MAMUYAC

NPI Number 1275053142
Credentials AGPCNP
Entity Individual
Enumeration date 06/22/2017
Last updated 06/22/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: F307956-1
Hospital affiliation n/a

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.

Reviews for LORA L MAMUYAC, AGPCNP

There are currently no reviews for LORA L MAMUYAC, AGPCNP


NPIdb - Home
v2.201