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Individual

MR. MAXIM BLEICHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
301136
NY
208M00000X
Hospitalist Physician
Primary
301136
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05895381
NY
05
103760086
PA
Enumeration date
05/02/2016
Last updated
11/20/2020
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