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Organization
MAXANA CORP.
Active
Organization
MAXANA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM LEVITSKI (EARLY INTERVENTION THERAPIST)
(347) 772-5888
Entity
Organization
Contact information
Practice address
45 OCEANA DR E, APT.10E, BROOKLYN, NY 11235-6676
(347) 772-5888
Mailing address
45 OCEANA DR E, APT.10E, BROOKLYN, NY 11235-6676
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1285001
NY
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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