Individual
MAYA ROSE HORMADALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT-P
Contact information
Practice address
370 LEXINGTON AVE RM 1001, NEW YORK, NY 10017-6586
(646) 941-8334
Mailing address
370 LEXINGTON AVE RM 1001, NEW YORK, NY 10017-6586
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P05496
NY
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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