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Organization
MAXIM
Active
Organization
MAXIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DAVIDOFF NRM (NATIONAL RECRUITING MANAGER)
(813) 371-3412
Entity
Organization
Contact information
Practice address
5474 MUNRO RD, CAMILLUS, NY 13031-9799
(315) 657-7646
Mailing address
5474 MUNRO RD, CAMILLUS, NY 13031-9799
(315) 657-7646
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030004-1
NY
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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