Individual
LAURIE K. MAYSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 2ND AVE, NEW YORK, NY 10016-8275
(212) 889-5477
(212) 889-0517
Mailing address
535 2ND AVE, NEW YORK, NY 10016-8275
(212) 889-5477
(212) 889-0517
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
191387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605036
—
NY
Enumeration date
06/27/2006
Last updated
12/11/2015
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