Individual
MR. MAXWELL APENTENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1248 E 224TH ST APT 2, BRONX, NY 10466-5806
(347) 202-7407
(347) 202-7407
Mailing address
1248 E 224TH ST APT 2, BRONX, NY 10466-5806
(347) 202-7407
(347) 202-7407
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
685381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805082191
STATE ID
NY
Enumeration date
04/25/2018
Last updated
04/25/2018
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