Individual
PETER MAXA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
280 RECTOR PL, NEW YORK, NY 10280-1137
(212) 387-9060
(212) 387-9062
Mailing address
280 RECTOR PL, NEW YORK, NY 10280-1137
(212) 387-9060
(212) 387-9062
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
010666-1
NY
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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