# MAYA IPA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326661695
- **Authorized official:** MICHAEL LIPSKY (PRESIDENT)
- **Authorized official phone:** (855) 629-2472

## Contact information

- **Practice address:** 2654 HUBBARD ST, BROOKLYN, NY 11235-6215
- **Practice address phone:** (855) 629-2472
- **Mailing address:** 2654 HUBBARD ST, BROOKLYN, NY 11235-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2020
- **Last updated:** 05/21/2020