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Contact Information

ROBERT J MAIDEN
12 MARTIN ST
SUITE 3
WELLSVILLE, NY14895
 Phone: 585-593-1859
 Fax: 585-593-2465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT J MAIDEN · (Male)

NPI Number 1386725323
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2006
Last updated 10/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006688
  • NY License # 006688-2
  • NY Medicaid 00781659
  • NY Other 000500140001 BLUE SHIELD WESTERN NY
  • NY Other 6107819 IHA
  • NY Other 260011314 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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