Healthcare Provider Details
I. General information
NPI: 1659614543
Provider Name (Legal Business Name): MAYA BARSKY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2013
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 BATTERSON PARK RD
FARMINGTON CT
06032-2568
US
IV. Provider business mailing address
6651 MAIN ST FL 10
HOUSTON TX
77030-2351
US
V. Phone/Fax
- Phone: 844-467-3483
- Fax:
- Phone: 832-826-7371
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 75884 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: