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
Phone: (718) 992-1573
Fax: (347) 665-1477
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | 2030100 | New York |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | New York |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447434709 | NPPES |
New York | MEDICAID | 02799640 | |
New York | Other | 40948101 |
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