Healthcare Provider Details

I. General information

NPI: 1487757514
Provider Name (Legal Business Name): MARIAN MAHER RKT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 WEST KINGSBRIDGE ROAD
BRONX NY
10468
US

IV. Provider business mailing address

8 DUNLAP WAY
WHITE PLAINS NY
10603-2306
US

V. Phone/Fax

Practice location:
  • Phone: 718-584-9000
  • Fax:
Mailing address:
  • Phone: 914-831-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: