Provider Demographics
NPI:1346760998
Name:HIRUMA, MARIA (DMD, MA)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:HIRUMA
Suffix:
Gender:
Credentials:DMD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 WILLIS AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1333
Mailing Address - Country:US
Mailing Address - Phone:516-484-2676
Mailing Address - Fax:
Practice Address - Street 1:1041 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1333
Practice Address - Country:US
Practice Address - Phone:516-484-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-25
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063086-011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice