Provider Demographics
NPI:1033773619
Name:HOWARD, NAOMI MARITZA (CMA)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:MARITZA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1333
Mailing Address - Country:US
Mailing Address - Phone:518-727-8662
Mailing Address - Fax:
Practice Address - Street 1:84 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1333
Practice Address - Country:US
Practice Address - Phone:518-727-8662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMA-0687374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician