Individual ProviderMaxine ZachariahNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 909-6900(914) 909-9018PECOS EnrollmentBased on the most recent information from CMS, provider Maxine Zachariah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1831698521Provider TypeIndividualFull NameZachariah, MaxineCredentialNP-CGenderFemaleSole ProprietorYesEnumeration Date2/7/2018Last Updated11/29/2021Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 909-6900Fax(914) 493-2828Mailing LocationMailing Address19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140Phone(914) 909-9018Fax(914) 909-9028Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF342275-1New York