Individual
MS. CLARICE MAALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3411 WAYNE AVE, MONTEFIORE MEDICAL CENTER/ DEPARTMENT OF HEMATOLOGY, BRONX, NY 10467-2509
(718) 920-6310
(718) 882-8698
Mailing address
3411 WAYNE AVE, MONTEFIORE MEDICAL CENTER/ DEPARTMENT OF HEMATOLOGY, BRONX, NY 10467-2509
(718) 920-6310
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303709
NY
363LG0600X
Gerontology Nurse Practitioner
F340561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685812
—
NY
Enumeration date
06/05/2006
Last updated
01/27/2009
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