Individual
JAMES MAISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SO OYSTER BAY RD, STE 305, HICKSVILLE, NY 11801
(516) 939-6100
(516) 939-2510
Mailing address
400 SO OYSTER BAY RD, STE 305, HICKSVILLE, NY 11801
(516) 939-6100
(516) 939-2510
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
138708
NY
207W00000X
Ophthalmology Physician
ME0058247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00783188310003
—
NY
01
—
00D161
BCBS
—
01
—
3598
VYTRA PPO
—
01
—
41409
US HEALTH
—
01
—
58809P
HIP
—
01
—
AS1211
OXFORD
—
Enumeration date
07/21/2006
Last updated
04/24/2013
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