Individual
ALYSSA MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032
(212) 342-3622
Mailing address
2 HIGH ST, WEST HARRISON, NY 10604
(914) 618-0222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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