Individual
DIANE CECILE MAIWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
284 OAKWOOD ROAD, HUNTINGTON STATION, NY 11746
(631) 423-2110
(631) 423-8672
Mailing address
284 OAKWOOD ROAD, HUNTINGTON STATION, NY 11746
(631) 423-2110
(631) 423-8672
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
170366
NY
Other
Enumeration date
09/14/2006
Last updated
05/10/2026
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