Individual
DR. NANCY C MARUYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
317 E 17TH ST, FIERMAN HALL - SUITE 5F09, NEW YORK, NY 10003-3804
(212) 420-4094
(212) 420-4332
Mailing address
317 E 17TH ST, FIERMAN HALL - SUITE 5F09, NEW YORK, NY 10003-3804
(212) 420-4094
(212) 420-4332
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
177928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002202
—
NY
Enumeration date
11/28/2006
Last updated
09/03/2010
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