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Maxine Zachariah, NP-C

Nurse Practitioner, Family in Valhalla, NY. Individual provider (NPI-1).

NPI number1831698521
StatusActive
Last updated in NPPESNov 29, 2021

Details

NPI
1831698521
Entity type
Individual (NPI-1)
Name
Maxine Zachariah
Credential
NP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 7, 2018
Certification date
Nov 29, 2021
Last updated
Nov 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF342275-1NYYes

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-909-6900 · Fax 914-493-2828

Mailing address

19 Bradhurst Ave Ste 3100n
Hawthorne, NY 10532-2140

Phone 914-909-9018 · Fax 914-909-9028

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