Provider Demographics
NPI:1083617815
Name:CARTAGENA, MARIA T (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:T
Last Name:CARTAGENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BRYANT WOODS S
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3604
Mailing Address - Country:US
Mailing Address - Phone:716-689-3333
Mailing Address - Fax:716-689-9866
Practice Address - Street 1:85 BRYANT WOODS S
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-3604
Practice Address - Country:US
Practice Address - Phone:716-689-3333
Practice Address - Fax:716-689-9866
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2054002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00020946901OtherUNIVERA
NY000525382003OtherHEALTH INTEGRATED
NY11121843OtherCAQH
NY410066OtherVALUE OPTIONS
NY1590292OtherINDEPENDENT HEALTH
NY01971888Medicaid
NYBB8644Medicare ID - Type Unspecified
NY410066OtherVALUE OPTIONS