Dalia Maxwell

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

14 Gibson Blvd
Valley Stream, NY 11581-2020

Phone

(347) 204-3608

Fax

(516) 561-1274

NPI assigned

Jun 13, 2012

Last updated

Jun 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1588926737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GIBSON BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812020",
            "telephone_number": "347-204-3608",
            "fax_number": "516-561-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GIBSON BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812020",
            "telephone_number": "347-204-3608",
            "fax_number": "516-561-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DALIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL SERVICE PROVIDER",
            "identifier": "1588926737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myrlene Mathieu
• Asna Matin, M.D.
• Virginia Matthews, MS.ED
• Decidel Maxume
• Smy Maxume
• Martine Mbiaka
• Makini MC Pherson-Wyvener
• John T McCann, PHD
• Isabella Grace McCormack
• Rashid Shamar Lateef McCurty-Ott

• Specialist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.