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Individual

BETH J MALETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3959 BROADWAY, CHONY 6, NEW YORK, NY 10032-1559
(212) 305-5398
Mailing address
3959 BROADWAY, CHONY 6, NEW YORK, NY 10032-1559

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00148200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401366
NY

Other

Enumeration date
12/13/2007
Last updated
11/18/2011
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