Individual
MAXWELL REBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 WEST AVE, SARATOGA SPRINGS, NY 12866-6049
(518) 693-4635
Mailing address
19 WEST AVE STE 101, SARATOGA SPRINGS, NY 12866-6052
(518) 693-4635
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
328044
NY
207RP1001X
Pulmonary Disease Physician
68235
CT
Other
Enumeration date
04/03/2015
Last updated
07/11/2024
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