Individual ProviderMaxine SealeyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5711 Tilden Ave, Brooklyn, NY 11203-4821(718) 629-9356PECOS EnrollmentBased on the most recent information from CMS, provider Maxine Sealey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902331713Provider TypeIndividualFull NameSealey, MaxineCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date4/30/2017Last Updated4/30/2017Contact InformationPractice LocationPractice Address5711 Tilden Ave, Brooklyn, NY 11203-4821Phone(718) 629-9356Fax(718) 629-9356Mailing LocationMailing Address5711 Tilden Ave, Brooklyn, NY 11203-4821Phone(718) 629-9356Fax(718) 629-9356Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF341042-1New York