Provider Demographics
NPI:1518198225
Name:MARIA NOYA MD PC
Entity Type:Organization
Organization Name:MARIA NOYA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:516-364-8080
Mailing Address - Street 1:175 JERICHO TPKE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4532
Mailing Address - Country:US
Mailing Address - Phone:516-364-8080
Mailing Address - Fax:516-496-4393
Practice Address - Street 1:175 JERICHO TPKE
Practice Address - Street 2:SUITE 204
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4532
Practice Address - Country:US
Practice Address - Phone:516-364-8080
Practice Address - Fax:516-496-4393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIA NOYA MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-29
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148565-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100001690Medicare PIN