Organization
MAXWELL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANIA LOUISOR (INSURANCE DIRECTOR)
(212) 952-9355
Entity
Organization
Contact information
Practice address
16 E 40TH ST, SUITE 401, NEW YORK, NY 10016-0113
(212) 684-4325
Mailing address
99 WALL ST, 10TH FLOOR, NEW YORK, NY 10005-4301
(212) 684-4325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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