# MAXANA CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295108389
- **Authorized official:** MAXIM LEVITSKI (EARLY INTERVENTION THERAPIST)
- **Authorized official phone:** (347) 772-5888

## Contact information

- **Practice address:** 45 OCEANA DR E, APT.10E, BROOKLYN, NY 11235-6676
- **Practice address phone:** (347) 772-5888
- **Mailing address:** 45 OCEANA DR E, APT.10E, BROOKLYN, NY 11235-6676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 1285001 | NY | Yes |

## Other

- **Enumeration date:** 11/11/2015
- **Last updated:** 11/11/2015