Healthcare Provider Details

I. General information

NPI: 1265752935
Provider Name (Legal Business Name): MARIA ANNA HY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 06/27/2025
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-0001
US

IV. Provider business mailing address

1112 LAUREN PL
NEWARK DE
19702-6926
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-1042
  • Fax:
Mailing address:
  • Phone: 859-230-5326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0567
License Number StateMP
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: