Most Relevant Information
Provider Data
| NPI Number: | 1003040114 |
| Provider Name: | MAXINE L BROOKS CNM, NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 363LW0102X |
Most Important Dates
| Enumeration Date: | 05/05/2009 |
| Last Updated: | 05/05/2009 |
Provider Practice Location
11247 QUEENS BLVD
SUITE 102
FOREST HILLS
NY
113757417
Practice Location Phone/Fax
| Phone: | 7182632986 |
| Fax: | 7185446475 |
Provider Mailing Location
11247 QUEENS BLVD
SUITE 102
FOREST HILLS
NY
113757417
Provider Mailing Phone/Fax
| Phone: | 7182632986 |
| Fax: | 7185446475 |