Individual
MR. GARY GERARD MAIDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4982 HYLAN BLVD, STATEN ISLAND, NY 10312-6399
(718) 967-6200
(718) 967-6314
Mailing address
414 SAINT GEORGE RD, STATEN ISLAND, NY 10306-1524
(718) 967-6200
(718) 967-6314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001167
NY
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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