Healthcare Provider Details

I. General information

NPI: 1710467139
Provider Name (Legal Business Name): MAURA P MAIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 08/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 WHITE PLAINS RD STE 232
SCARSDALE NY
10583
US

IV. Provider business mailing address

688 WHITE PLAINS RD STE 232
SCARSDALE NY
10583-5015
US

V. Phone/Fax

Practice location:
  • Phone: 914-725-5252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number492594-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: