Mcconneghey, Maritzam Marice

Mcconneghey, Maritzam Marice is an sole proprietor health care provider with primary practice located at 1138 229Th Dr S , Bronx NY 10466-5119. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Mental Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Mcconneghey, Maritzam Marice can be contacted via phone (718) 992-1573.

Contact Information

Primary practice address
1138 229Th Dr S Bronx NY 10466-5119
Fax: (347) 665-1477
Website:

Profile Details

NPI number 1447434709
LBN Legal business name Mcconneghey, Maritzam Marice
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2007
Last updated Mar 7th, 2023 - about last year

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 1447434709 NPPES
New York MEDICAID 02799640
New York Other 40948101

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