Prof Maritzam Marice Mcconneghey, PHD is a
Developmental Therapist based in Bronx, New York. Prof Maritzam Marice Mcconneghey is licensed to practice in New York (license number 2030100) and her current practice location is
1138 229th Dr S, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 992-1573.
NPI number for Prof Maritzam Marice Mcconneghey is 1447434709 and her current mailing address is 1138 229th Dr S, 6g, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447434709.
Healthcare Provider's Profile
| Full Name | Prof Maritzam Marice Mcconneghey |
|---|
| Gender | Female |
|---|
| Speciality | Developmental Therapist |
|---|
| Location | 1138 229th Dr S, Bronx, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447434709
- Provider Enumeration Date: 12/21/2007
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Prof Maritzam Marice Mcconneghey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447434709 | NPI | - | NPPES |
| 40948101 | Other | NY | USMLE |
| 02799640 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (New York) | Secondary |
| 222Q00000X | Developmental Therapist | 2030100 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Maritzam Marice Mcconneghey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Prof Maritzam Marice Mcconneghey, PHD
1138 229th Dr S, 6g,
Bronx, NY 10466-5119
Ph: (347) 449-6790 | Prof Maritzam Marice Mcconneghey, PHD
1138 229th Dr S,
Bronx, NY 10466-5119
Ph: (718) 992-1573 |
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