Female

Mary R. Maestro IDHS

Independent Duty Corpsman in Highlands, NJ(View on Map)

Full Name

Mary Roxan Maestro IDHS

NPI Number

1295407054

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/30/2021

Specialties

(Taxonomies)

Code

1710I1002X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

35 APPLEBY AVE
20 CRISPIN RD

City

Staten Island
Highlands

State

NY
NJ

Postal Code

10305-3509
07732-4008

Country

US
US

Telephone Number

N/A
(732) 872-3444

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/30/2021

Provider Address