Provider Demographics
NPI:1649008293
Name:DALY, MARIA G (PA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:DALY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:870 PALISADE AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3446
Mailing Address - Country:US
Mailing Address - Phone:484-238-2135
Mailing Address - Fax:
Practice Address - Street 1:870 PALISADE AVE STE 302
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3446
Practice Address - Country:US
Practice Address - Phone:484-238-2135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant