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Individual

MAXUS HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
Mailing address
2262 MOTT AVE APT 2, FAR ROCKAWAY, NY 11691-3009
(347) 531-3310

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
359508344
NY

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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