Individual
RICHARD H MAISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 CROSSWAYS PARK DRIVE, WOODBURY, NY 11797
(516) 938-3000
(516) 938-3239
Mailing address
43 CROSSWAYS PARK DRIVE, WOODBURY, NY 11797
(516) 938-3000
(516) 938-3239
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
166949-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371264
—
NY
01
—
30F52
BCBS
NY
Enumeration date
08/07/2006
Last updated
01/29/2008
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