MAIDEN LANE MEDICAL PLLC NPI 1497291074

NPI Information

MAIDEN LANE MEDICAL, PLLC is a gynecology obstetrics gynecology in New York, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MAIDEN LANE MEDICAL, PLLC NPI is 1497291074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

90 MAIDEN LN
THIRD FLOOR
NEW YORK, NY
ZIP 10038-831
Phone: (646) 290-9560
Fax: (212) 532-4362

The provider's authorized official is Kenneth Levey .
The authorized official title is President and has the following contact phone number (646) 290-9560.

The CLIA number assigned to this NPI record is 33D1073563 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2017 and was last updated on 1/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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