IndividualActive
Maryam Banikazemi, MD
NPI 1831164672 · Ph.D. Medical Genetics · Valhalla, NY
Provider details
- NPI number
- 1831164672
- Entity type
- Individual
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 218942 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
100 Woods Rd
Valhalla, NY 10595-1530
Phone: (914) 909-9018
Approximate (ZIP-level) locationGet directions
Mailing address
19 Bradhurst Ave Ste 3100n
Hawthorne, NY 10532-2140
Additional practice locations (1)
- 503 Grasslands RdSuite # 200Valhalla, NY 10595-1503Phone: (914) 304-5280Fax: (914) 345-1753
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.