Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 219055 | NY |
NPI | 1083660047 |
---|---|
Provider Name | Dr. Anne L Maitland |
First Address | Tarrytown, NY 10591-4000 |
Second Address | Tarrytown, NY 10591-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 13/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H77678 | (02) | NY |