Individual
MS. DENISSE MICHELLE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
4515 48TH ST APT 5E, WOODSIDE, NY 11377-5310
(917) 444-6824
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
09/29/2025
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