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NPI Code Detail

MEDICARE: DR. MIRIAM MALTZ PHARM. D.

MEDICARE:  DR. MIRIAM  MALTZ  PHARM. D.
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
1183500000XPharmacist058836NY

General Provider Information

NPI Number : 1225431737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRIAM MALTZ PHARM. D.
Provider Business Mailing Address
First Line : 1563 58TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4748
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4624 NEW UTRECHT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2557
Country : US
Telephone Number : 718-436-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2014
Last Update Date : 09/29/2014

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Directions to “ DR. MIRIAM MALTZ PHARM. D.” Practice Location

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