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NPI Code Detail

MEDICARE: MAYAJIT DESIRE WALIA A.N.P.

MEDICARE: MAYAJIT DESIRE WALIA A.N.P.
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
1363LA2200XAdult Health Nurse PractitionerF304095-1NY

General Provider Information

NPI Number : 1457501959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYAJIT DESIRE WALIA A.N.P.
Provider Business Mailing Address
First Line : 1155 AVENUE OF THE AMERICAS
Second Line : 16TH FLOOR
City : NEW YORK
State : NY
Zip : 10036-2787
Country : US
Telephone Number : 212-819-8561
Fax Number : 646-885-2217
Provider Business Practice Location Address
First Line : 1155 AVENUE OF THE AMERICAS
Second Line : 16TH FLOOR
City : NEW YORK
State : NY
Zip : 10036-2787
Country : US
Telephone Number : 212-819-8561
Fax Number : 646-885-2217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2008
Last Update Date : 04/26/2010

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