Individual
DR. MAYA MIKAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH5-505, NEW YORK, NY 10032-3720
(212) 305-9876
Mailing address
622 W 168TH ST, PH5-505, NEW YORK, NY 10032-3720
(212) 305-9876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
275781
NY
Other
Enumeration date
04/30/2010
Last updated
03/13/2023
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