Individual
DR. MARIA SUSANA MARITATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 BROADWAY, DEPARTMENT OF MEDICINE, BROOKLYN, NY 11206-5317
(718) 963-5808
(718) 963-8753
Mailing address
612 74TH ST, 2ND FLOOR, BROOKLYN, NY 11209-3324
(718) 963-5808
(718) 963-8753
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
191535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605054
—
NY
Enumeration date
10/28/2006
Last updated
07/08/2007
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