Individual
DR. MARTA MACZAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6277
(631) 474-6761
Mailing address
9 NEW YORK AVE, STONY BROOK, NY 11790-1805
(631) 255-2953
(631) 751-3162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
168448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004336633
AETNA
NY
05
—
01255825
—
NY
01
—
449N43
EMPIRE BC.BS
NY
Enumeration date
06/10/2006
Last updated
12/29/2021
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