Provider Demographics
NPI:1356133037
Name:ALVARADO-SEKULSKI, MAIA
Entity type:Individual
Prefix:
First Name:MAIA
Middle Name:
Last Name:ALVARADO-SEKULSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SAINT LUKES PL APT 111
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2145
Mailing Address - Country:US
Mailing Address - Phone:164-624-1317
Mailing Address - Fax:
Practice Address - Street 1:22-08 STATE RT 208 STE 7
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2609
Practice Address - Country:US
Practice Address - Phone:646-241-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist