MEDICARE: MARIA AMIRA COVINGTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	304645	NY

General Provider Information

NPI Number	:	1487184735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA AMIRA COVINGTON M.D.

Provider Business Mailing Address
First Line	:	8 SILVER HILL ROAD
Second Line	:
City	:	MAYNARD
State	:	MA
Zip	:	01754
Country	:	US
Telephone Number	:	781-710-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	159 JEFFERSON HTS STE C103
Second Line	:
City	:	CATSKILL
State	:	NY
Zip	:	12414-1204
Country	:	US
Telephone Number	:	518-943-2557
Fax Number	:	518-943-2739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	04/25/2025

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