1497922017 NPI number — MS. MARIAN OPHIRA MALONEY LCAT

Table of content: MS. MARIAN OPHIRA MALONEY LCAT (NPI 1497922017)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497922017 NPI number — MS. MARIAN OPHIRA MALONEY LCAT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MALONEY
Provider First Name:
MARIAN
Provider Middle Name:
OPHIRA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCAT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497922017
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1115 46TH RD
Provider Second Line Business Mailing Address:
APT 4I
Provider Business Mailing Address City Name:
LONG ISLAND CITY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11101-5339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-228-1125
Provider Business Mailing Address Fax Number:
646-607-9200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 EAST 32ND STREET
Provider Second Line Business Practice Location Address:
TRS INC PROFESSIONAL SUITE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-228-1125
Provider Business Practice Location Address Fax Number:
646-607-9200
Provider Enumeration Date:
05/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  001086 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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