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Organization

MAXIM OF NEW YORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization

Contact information

Practice address
900 MERCHANTS CONCOURSE STE LL06, WESTBURY, NY 11590
(516) 565-6322
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
1121L006
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023243851009
NY
05
02621396-008
NY
05
03011098-013
NY
Enumeration date
08/31/2006
Last updated
09/06/2018
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