Individual
DR. ROBERT JOSEPH MAIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 MARTIN ST, SUITE 3, WELLSVILLE, NY 14895
(585) 593-1859
(585) 593-2465
Mailing address
12 MARTIN ST, SUITE 3, SUITE 3, WELLSVILLE, NY 14895
(585) 593-9815
(585) 596-4048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006688
NY
103T00000X
Psychologist
006688-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000500140001
BLUE SHIELD WESTERN NY
NY
05
—
00781659
—
NY
01
—
260011314
RAIL ROAD MEDICARE
NY
01
—
6107819
IHA
NY
Enumeration date
10/18/2006
Last updated
10/01/2019
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