Individual provider · Type 1 NPI

Maxine Taylor Goyette Travis, PA-C

Physician Assistant · New York, NY

NPI number 1134859200 Active

Practice location

519 E 72nd St Ste 204
New York, NY 10021-4028

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant 363AM0700XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134859200

Maxine Taylor Goyette Travis, PA-C's National Provider Identifier is 1134859200, issued on Jun 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Jul 10, 2026.