Individual
JANE NOBEL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
70 EDGEWOOD ROAD, SARANAC LAKE, NY 12983-5644
(518) 891-8097
Mailing address
PO BOX 886, SARANAC LAKE, NY 12983-0886
(518) 891-8097
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
202944-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000202944
—
NY
Enumeration date
08/11/2006
Last updated
05/19/2009
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