Individual
R. MAXWELL ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Mailing address
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
195856-0
NY
207XX0801X
Orthopaedic Trauma Physician
195856-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405264001
BS NENY
NY
05
—
01486819
—
NY
01
—
10000027
CDPHP
NY
01
—
16J541
EMPIRE BC
NY
01
—
18222
MVP
NY
01
—
4531984
AETNA
NY
Enumeration date
10/10/2006
Last updated
11/24/2025
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