Provider Demographics
NPI:1053108134
Name:MASLIAK, HALYNA (BA)
Entity type:Individual
Prefix:
First Name:HALYNA
Middle Name:
Last Name:MASLIAK
Suffix:
Gender:
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 WOLCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-3105
Mailing Address - Country:US
Mailing Address - Phone:929-285-6271
Mailing Address - Fax:
Practice Address - Street 1:69 WOLCOTT AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3105
Practice Address - Country:US
Practice Address - Phone:929-285-6271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator