Provider Demographics
NPI:1730482233
Name:MAXI, SYLVIA (RN)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:
Last Name:MAXI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 MIDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5412
Mailing Address - Country:US
Mailing Address - Phone:917-586-3934
Mailing Address - Fax:
Practice Address - Street 1:312 MIDWOOD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5412
Practice Address - Country:US
Practice Address - Phone:917-586-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6233181163W00000X
NJ26NR14939900163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse