Individual
DR. MAXINE JUNE AIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PARK AVE, STATEN ISLAND, NY 10302-1440
(718) 876-7716
(718) 876-7761
Mailing address
100 PARK AVE, STATEN ISLAND, NY 10302-1440
(718) 876-7716
(718) 876-7761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
142437-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
05
—
PENDING
—
CO
05
—
PENDING
—
NM
Enumeration date
07/19/2007
Last updated
05/13/2013
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