Individual
MISS MAXINE M EASY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10837 SEAVIEW AVE, BROOKLYN, NY 11236-4689
(347) 933-5908
(718) 270-4789
Mailing address
10837 SEAVIEW AVE APT 33C, BROOKLYN, NY 11236-4689
(347) 933-5908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
307815
NY
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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