Provider Demographics
NPI:1750776969
Name:MAIMAN, RICHARD (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:MAIMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:340 BROADHOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-4807
Mailing Address - Country:US
Mailing Address - Phone:516-931-0041
Mailing Address - Fax:718-881-5074
Practice Address - Street 1:535 PLANDOME RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1974
Practice Address - Country:US
Practice Address - Phone:516-627-6288
Practice Address - Fax:516-627-6188
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2021-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY303752208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology