Individual
VANESSA MAXIMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE, STE 107, JOHNSON CITY, NY 13790
(607) 763-6735
(607) 763-6736
Mailing address
40 FRONT ST STE C, BINGHAMTON, NY 13905-4712
(607) 722-7264
(607) 722-7869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
691484
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
691484
NY
Other
Enumeration date
11/20/2020
Last updated
01/15/2026
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