Healthcare Provider Details

I. General information

NPI: 1821908294
Provider Name (Legal Business Name): MARIA KARYLL ALDUEZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 BROADHOLLOW RD STE 200
MELVILLE NY
11747-4833
US

IV. Provider business mailing address

648 WADLEIGH AVE
WEST HEMPSTEAD NY
11552-3722
US

V. Phone/Fax

Practice location:
  • Phone: 516-452-9299
  • Fax:
Mailing address:
  • Phone: 646-683-1973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number637952
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: