Individual
R. MAXWELL ALLEY
Active
Individual
R. MAXWELL ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
08/07/2026
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