Individual
MAXO JUNIOR MAITRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 BRANCH AVE, FREEPORT, NY 11520-5337
(516) 304-2603
Mailing address
56 BRANCH AVE, FREEPORT, NY 11520-5337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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