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Organization
MAXIM CARE
Active
Organization
MAXIM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JEGANATHAN (CLINICAL DIRECTOR)
(646) 709-2191
Entity
Organization
Contact information
Practice address
30 E 60TH ST STE 1400, NEW YORK, NY 10022-1773
(646) 709-2191
Mailing address
30 E 60TH ST STE 1400, NEW YORK, NY 10022-1773
(646) 709-2191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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