MS. CLARICE MAALA


Address: 3411 Wayne Ave, Montefiore Medical Center/ Department of Hematology, Bronx, NY 10467-2509
Phone: 7189206310

MS. CLARICE MAALA (NPI# 1205875200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205875200
Entity Type Individual
Full Name MS. CLARICE MAALA
Credential N.P.
Practice Address 3411 Wayne Ave
Montefiore Medical Center/ Department of Hematology
Bronx
NY 10467-2509
Practice Telephone 7189206310
Practice Fax Number 7188828698
Mailing Telephone 7189206310
Enumeration Date 2006-06-05
Last Update Date 2009-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
303709 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
F340561 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02685812 05

Office Location

Street Address 3411 WAYNE AVE
MONTEFIORE MEDICAL CENTER/ DEPARTMENT OF HEMATOLOGY
City BRONX
State NY
Zip Code 10467-2509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447729025 Rebecca Deluca Physician Assistant 3411 Wayne Ave, Bronx, NY 10467-2509 2018-11-13
1679067607 Sheneka Dalmage Nurse Practitioner 3411 Wayne Ave, Bronx, NY 10467-2509 2018-06-22
1245755313 Sky Lahav-vitenzon Physician Assistant 3411 Wayne Ave, Bronx, NY 10467-2509 2017-08-09
1831543438 Cindy Moran Physician Assistant 3411 Wayne Ave, Bronx, NY 10467-2509 2016-04-20
1164886552 Lauren Iacono Student in an Organized Health Care Education/Training Program 3411 Wayne Ave, Bronx, NY 10467-2509 2016-04-12
1235523523 Kirsten Fleming Student in an Organized Health Care Education/Training Program 3411 Wayne Ave, Montefiore Medical Center Division of Dermatology, Bronx, NY 10467-2509 2015-03-24
1912397340 Barbara Pitera Pediatrics 3411 Wayne Ave, Bronx, NY 10467-2509 2015-01-22
1902203292 Deidre Edwards Psychologist 3411 Wayne Ave, Bronx, NY 10467-2509 2014-12-02
1083025233 Krystina Therese Mathelier Nurse Practitioner 3411 Wayne Ave, Bronx, NY 10467-2509 2014-05-09
1265864409 Sandra Aleksic Student in an Organized Health Care Education/Training Program 3411 Wayne Ave, 2nd Floor, Endocrinology Suite, Bronx, NY 10467-2509 2013-07-30
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1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1457979510 Judith Brady Nurse Practitioner 3240 Paulding Ave, Bronx, NY 10469-3843 2020-07-06
1023650850 Andrew Lai Nurse Practitioner 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 2019-10-14
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1467984633 Analiza Benjamin Nurse Practitioner 1930 Mulford Ave, Bronx, NY 10461-4009 2017-03-28
1437558244 Sherin Shijo Zacharias Nurse Practitioner Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 2014-08-18
1790113355 Marisa Brown Nurse Practitioner 245 Admiral Ln, Bronx, NY 10473-2446 2013-10-17
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Competitor

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City BRONX
Zip Code 10467

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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