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Organization
MAXIM OF NEW YORK, LLC
Active
Organization
MAXIM OF NEW YORK, LLC
Active
Other names
Maxim Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
150 STATE ST STE 300, ROCHESTER, NY 14614-1353
(585) 484-3550
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1121L003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02319175-005
—
NY
05
—
0232438507
—
NY
05
—
02621396-003
—
NY
Enumeration date
08/31/2006
Last updated
09/24/2019
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