Healthcare Provider Details

I. General information

NPI: 1760459903
Provider Name (Legal Business Name): MAYA GARALA PHARMD, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/02/2024
Certification Date: 09/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 E 16TH ST
BROOKLYN NY
11226-5601
US

IV. Provider business mailing address

125 ASHLAND PL APT 2A
BROOKLYN NY
11201-3926
US

V. Phone/Fax

Practice location:
  • Phone: 917-749-9167
  • Fax:
Mailing address:
  • Phone: 917-749-9167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number10009
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number284949-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number284949-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: