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Organization

MAXIM HEALTHCARE SERVISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EMILY MACNAUGHTON (ADMINSTRATIVE ASSISTANT)
(315) 476-0600
Entity
Organization

Contact information

Practice address
224 HARRISON ST, SUITE 680, SYRACUSE, NY 13202-3056
(315) 476-0600
Mailing address
PO BOX 154, 8522 NEW YORK STATE ROUTE 12E THREE MILE BAY NEW YORK 1, THREE MILE BAY, NY 13693
(315) 649-2606

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
181988
NY

Other

Enumeration date
01/06/2012
Last updated
01/06/2012
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