SearchNew York225XP0200X

Maybelline Tan

NPI 1760635932 · on the registry since 2008 · sole proprietor

Practice

Address
300 Livingston Ave
Apt. 2j
Mamaroneck, NY 10543
Phone
(917) 453-2508

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York