Individual
MAXIANA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1752 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3247
(718) 746-9494
Mailing address
884 WASHINGTON ST, BALDWIN, NY 11510-4635
(347) 217-6772
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
310381
NY
363LP2300X
Primary Care Nurse Practitioner
F310381-01
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
F310381-01
NY
Other
Enumeration date
09/19/2021
Last updated
01/19/2022
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