Provider Demographics
NPI:1841377355
Name:MACULACARE, PLLC
Entity type:Organization
Organization Name:MACULACARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-439-9600
Mailing Address - Street 1:52 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4266
Mailing Address - Country:US
Mailing Address - Phone:212-439-9600
Mailing Address - Fax:212-439-0796
Practice Address - Street 1:52 E 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4266
Practice Address - Country:US
Practice Address - Phone:212-439-9600
Practice Address - Fax:212-439-0796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01676177Medicaid
NY01676177Medicaid
NY79T891Medicare ID - Type Unspecified