Provider Demographics
NPI:1427628650
Name:MARAJ, KAYON A (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:KAYON
Middle Name:A
Last Name:MARAJ
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:MISS
Other - First Name:KAYON
Other - Middle Name:A
Other - Last Name:WHYTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 WITLEY CT
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3528
Mailing Address - Country:US
Mailing Address - Phone:631-598-9549
Mailing Address - Fax:
Practice Address - Street 1:15 WITLEY CT
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3528
Practice Address - Country:US
Practice Address - Phone:631-598-9549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109448-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty