Organization
MAYA IPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LIPSKY (PRESIDENT)
(855) 629-2472
Entity
Organization
Contact information
Practice address
2654 HUBBARD ST, BROOKLYN, NY 11235-6215
(855) 629-2472
Mailing address
2654 HUBBARD ST, BROOKLYN, NY 11235-6215
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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