Healthcare Provider Details

I. General information

NPI: 1700844644
Provider Name (Legal Business Name): MARIA PALIOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 04/11/2020
Certification Date: 04/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE MEDICINE DEPARTMENT
NEW YORK NY
10029-7404
US

IV. Provider business mailing address

125 W 31ST ST APT 51 H
NEW YORK NY
10001-3403
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6771
  • Fax:
Mailing address:
  • Phone: 617-953-2661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberB25MAO7995200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number263301
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: