Healthcare Provider Details

I. General information

NPI: 1376743310
Provider Name (Legal Business Name): MAYA A GEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MADISON AVE SUITE 806
NEW YORK NY
10016-0801
US

IV. Provider business mailing address

280 MADISON AVE SUITE 806
NEW YORK NY
10016-0801
US

V. Phone/Fax

Practice location:
  • Phone: 917-545-0937
  • Fax:
Mailing address:
  • Phone: 917-545-0937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: