Doctor Name: | DR. ANNE L MAITLAND |
NPI Number: | 1083660047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 219055 |
Business Practice Address: | 55 S Broadway 2nd Floor Tarrytown, NY - 105914000 |
Business Phone Number: | 9146313283 |
Business Fax Number: | 9146313284 |
Mailing Address: | 55 S Broadway, 2nd Floor TARRYTOWN |
State: | NY |
Postal Code: | 105914000 |
Phone Number: | 9146313283 |
Fax Number: | 9146313284 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | 219055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |