Provider Demographics
NPI:1578208070
Name:MAXIMOS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MAXIMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 WEST 168TH STREET, PH 5-505
Mailing Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL/COLUMBIA UNIVERSITY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-342-2210
Mailing Address - Fax:
Practice Address - Street 1:622 WEST 168TH STREET, PH 5-505
Practice Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL/COLUMBIA UNIVERSITY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2023-02-13
Deactivation Date:2023-02-09
Deactivation Code:
Reactivation Date:2023-02-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program