Individual
DR. MAYRA NADAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 WICKS RD, BRENTWOOD, NY 11717-4213
(631) 231-5070
(631) 435-3288
Mailing address
27 WICKS RD, BRENTWOOD, NY 11717-4213
(631) 231-5070
(631) 435-3288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02404511
—
NY
Enumeration date
06/21/2005
Last updated
10/04/2011
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