Provider Demographics
NPI:1124385695
Name:FOLEY, MAYA (MSPT)
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:FOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:62 E 88TH ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1151
Mailing Address - Country:US
Mailing Address - Phone:212-988-2501
Mailing Address - Fax:
Practice Address - Street 1:62 E 88TH ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1151
Practice Address - Country:US
Practice Address - Phone:212-988-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist