Provider Demographics
NPI:1760459903
Name:GARALA, MAYA (PHARMD, MD)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:
Last Name:GARALA
Suffix:
Gender:F
Credentials:PHARMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 ASHLAND PL APT 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3926
Mailing Address - Country:US
Mailing Address - Phone:917-749-9167
Mailing Address - Fax:
Practice Address - Street 1:404 E 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5601
Practice Address - Country:US
Practice Address - Phone:917-749-9167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100091835P1200X
NY284949-1207RH0002X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty