Healthcare Provider Details

I. General information

NPI: 1952240848
Provider Name (Legal Business Name): ALIYAH ALBERT MAUTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 ROCKAWAY TPKE
CEDARHURST NY
11516-1122
US

IV. Provider business mailing address

760 ARGYLE RD
BROOKLYN NY
11230-2416
US

V. Phone/Fax

Practice location:
  • Phone: 718-868-4808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberN33864
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: