Maala, Clarice

Maala, Clarice is an individual health care provider with primary practice located at 3411 Wayne Ave Montefiore Medical Center/ Department Of Hematology, Bronx NY 10467-2509. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Maala, Clarice can be contacted via phone (718) 920-6310.

Contact Information

Primary practice address
3411 Wayne Ave Montefiore Medical Center/ Department Of Hematology Bronx NY 10467-2509
Phone: (718) 920-6310
Fax: (718) 882-8698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F340561 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 303709 New York

Profile Details

NPI number 1205875200
LBN Legal business name Maala, Clarice
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jan 27th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205875200 NPPES
New York MEDICAID 02685812

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