Individual
MORGAN A MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1256 CULVER AVE, UTICA, NY 13501-4253
(315) 738-7186
(315) 738-0188
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE -ROOM 310, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04925260
—
NY
Enumeration date
09/27/2017
Last updated
07/03/2019
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