Basic Information
| Provider Information | |||||||||
| NPI: | 1265595706 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MASLIAH | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | I. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27 E 22ND ST | ||||||||
| Address2: | #3 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100105300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129828530 | ||||||||
| FaxNumber: | 2125623494 | ||||||||
| Practice Location | |||||||||
| Address1: | 462 1ST AVE | ||||||||
| Address2: | BELLEVUE HOSPITAL MHC | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100169196 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125624860 | ||||||||
| FaxNumber: | 2125623494 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 143704 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.