Individual
KAREN A MAYBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 RABRO DR, OFFICE OF MINORITY HEALTH, HAUPPAUGE, NY 11788-4241
(631) 853-5078
Mailing address
225 RABRO DR, OFFICE OF MINORITY HEALTH, HAUPPAUGE, NY 11788-4241
(631) 853-5078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228477
NY
2083P0901X
Public Health & General Preventive Medicine Physician
228477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02601114
—
NY
Enumeration date
08/09/2005
Last updated
10/04/2007
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