NPI 1003495649
Lissette Maliza
Practice location
- Address
- 650 W 42nd St, New York, NY 10036-1138
- Phone
- (646) 238-0238
- Mailing address
- 6139 Madison St APT 2r, Ridgewood, NY 11385-4000
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1003495649
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Apr 2021
- Record last updated
- 2 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.