Organization
MAISIE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY YHAP JR. (CEO)
(347) 679-9566
Entity
Organization
Contact information
Practice address
3902 AMBOY RD, STATEN ISLAND, NY 10308-2776
(347) 225-4471
Mailing address
63 BUSH AVE, STATEN ISLAND, NY 10303-2215
(347) 679-9566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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