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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NEZIAH MALONEY

Deactivated Sole Proprietor

NEZIAH MALONEY is a Optician, Dispensing healthcare provider located in HUNTINGTON STATION, New York. NPI 1417566258 is deactivated in the NPPES registry. Verify at CMS.

Optician, Dispensing · HUNTINGTON STATION, NY

This NPI has been deactivated. The record was deactivated on August 19, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417566258
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2020 (0.06027397260274 yrs)
Last Updated
Sep 16, 2020
Deactivated
Aug 19, 2020
License
010293 (NY)
Sole Proprietor
Yes

Practice Information

Address
43 PRESIDENT ST
HUNTINGTON STATION, NY, 117462345
Browse NY providers · Browse ZIP 11746
Phone
3478673124
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in HUNTINGTON STATION, NY

Name Credential NPI
MS. BETTY CALLAHAN 1528118056
MR. STEVEN KUNSTADT 1760531289
MR. JAMES DECICCO OPTICIAN 1750432399
BRANDON MATOS OD 1235947623
TINA MARIE MARENGO 1871475426
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.