MEDICARE: MS. MAYA FOLEY MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	025837	NY

General Provider Information

NPI Number	:	1124385695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAYA FOLEY MSPT

Provider Business Mailing Address
First Line	:	62 E 88TH ST LOWR LEVEL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	212-988-2501
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 E 88TH ST LOWR LEVEL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	212-988-2501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	12/06/2018

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