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Organization

MAXIM OF NEW YORK, LLC

Active
Parent organization
MAXIM HEALTHCARE SERVICES, INC.
Other names
Maxim Healthcare Services, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Authorized official
DAVID KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization

Contact information

Practice address
1011 W GENESEE ST STE 3, SYRACUSE, NY 13204-2329
(315) 476-0600
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1121L002
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0232438504
NY
05
02621396-004
NY
Enumeration date
08/31/2006
Last updated
09/24/2019
About Stedi
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  • Eligibility checks
  • EDI platform