Individual
ELIZABETH P. MALTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 E SUNRISE HWY, SUITE 201, LINDENHURST, NY 11757-2598
(631) 225-7200
(631) 225-4565
Mailing address
150 E SUNRISE HWY, SUITE 201, LINDENHURST, NY 11757-2598
(631) 225-7200
(631) 225-4565
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
191669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01870846
—
NY
Enumeration date
01/24/2006
Last updated
07/08/2007
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