Provider Demographics
NPI:1902325921
Name:MAYKISH, KATHRYN MERRILY (DPT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MERRILY
Last Name:MAYKISH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:307 5TH AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6575
Mailing Address - Country:US
Mailing Address - Phone:212-759-2282
Mailing Address - Fax:212-379-2123
Practice Address - Street 1:110 E 42ND ST RM 1504
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-8541
Practice Address - Country:US
Practice Address - Phone:212-354-2622
Practice Address - Fax:212-354-2752
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2019-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0419182251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic