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Organization
MARIA L WING MD P.C.
Active
Organization
MARIA L WING MD P.C.
Active
Other names
Northridge Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA L WING M D (PRESIDENT)
(914) 235-8224
Entity
Organization
Contact information
Practice address
77 QUAKER RIDGE RD, SUITE 200A, NEW ROCHELLE, NY 10804
(914) 235-8224
(914) 235-6940
Mailing address
1333A NORTH AVE PMB 436, NEW ROCHELLE, NY 10804
(914) 235-8224
(914) 235-6940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
161772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01060631
—
NY
Enumeration date
05/03/2007
Last updated
08/22/2020
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