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Individual

DR. JOSEPH MAYTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3452
(718) 343-5826
Mailing address
175 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-1900
(516) 465-1830

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
170411
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01587773
NY
Enumeration date
04/25/2006
Last updated
08/29/2014
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