National Provider Identifier

Maxime Junior Jean, MD/PHD

Maxime Junior Jean, MD/PHD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-1200.

NPI 1114547957Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1114547957
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 22, 2020
Last Updated
April 22, 2020

Practice Location

  • 601 Elmwood Ave
  • Neurology Clinic 681
  • Rochester, NY 14642

Phone: (585) 275-1200

Mailing Address

  • 93 Smyles Dr
  • Rochester, NY 14609-3130

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1114547957
Entity Type
Individual
Last Name
Jean
First Name
Maxime
Middle Name
Junior
Credential
MD/PHD
Mailing Street Address
93 Smyles Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3130
Mailing Country
US
Mailing Phone
(786) 283-0874
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Neurology Clinic 681
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642
Practice Country
US
Practice Phone
(585) 275-1200
Practice Fax
(585) 756-5189
Enumeration Date
April 22, 2020
Last Updated
April 22, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
April 22, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)