Provider Demographics
NPI:1932433687
Name:O'BRIEN, MAUREEN ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 WATERS PLACE
Mailing Address - Street 2:BRONX PSYCHIATRIC CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-862-5028
Mailing Address - Fax:914-736-5627
Practice Address - Street 1:1500 WATERS PLACE
Practice Address - Street 2:BRONX PSYCHIATRIC CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-862-5028
Practice Address - Fax:718-221-7330
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist