Individual
ITAYI MAXWELL NDIAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8700
Mailing address
802 REGENCY CT, MIDDLETOWN, NY 10940-1708
(845) 500-3745
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
970229
NY
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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