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NPI Code Detail

MEDICARE: MR. NATHAN MALTZ R.PH.

MEDICARE:  MR. NATHAN  MALTZ  R.PH.
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
1183500000XPharmacist028096-1NY

General Provider Information

NPI Number : 1447496682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NATHAN MALTZ R.PH.
Provider Business Mailing 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 :
Provider Business Practice Location Address
First Line : 4624 NEW UTRECHT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2545
Country : US
Telephone Number : 718-436-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2008
Last Update Date : 01/18/2022

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Directions to “ MR. NATHAN MALTZ R.PH.” Practice Location

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