Individual
TYLER DEL MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
450 CLARKSON AVE # ALL1-519, BROOKLYN, NY 11203-2012
(718) 270-4098
Mailing address
1510 CARROLL ST APT 3C, BROOKLYN, NY 11213-4529
(209) 261-4668
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
1835I0206X
Infectious Diseases Pharmacist
Primary
066123
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2019
Last updated
05/10/2023
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