Provider Demographics
NPI:1063773877
Name:HOWARD-MALDONADO, PATICIA MARY (MS ED)
Entity type:Individual
Prefix:MRS
First Name:PATICIA
Middle Name:MARY
Last Name:HOWARD-MALDONADO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2029
Mailing Address - Country:US
Mailing Address - Phone:914-659-9450
Mailing Address - Fax:
Practice Address - Street 1:1053 SAW MILL RIVER ROAD
Practice Address - Street 2:HTA OF NEW YORK
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502
Practice Address - Country:US
Practice Address - Phone:914-674-0733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY759344971174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist