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General NPI Number Information
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NPI Number | 1609431279
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Entity Type | Individual
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Provider Name | MAXIME BAYOL DO
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Gender | Female
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1101 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4892
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Country | US
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Telephone | 516-222-0893
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Fax | 516-228-6560
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Provider Business Mailing Address
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Address Line | 11716 240TH ST
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City | ELMONT
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State | NY
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Zip | 11003-4016
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Country | US
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Telephone | 516-564-7152
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 317366
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License Number State | NY
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