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Organization

MAXIM OF NEW YORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS SIPES (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization

Contact information

Practice address
159 WOLF RD, SUITE 100A, COLONIE, NY 12205-6007
(518) 437-0152
(855) 415-4970
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1121L005
NY

Other

Enumeration date
03/28/2014
Last updated
03/28/2014
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