National Provider Identifier
Maxim Of New York, LLC
Maxim Of New York, LLC is listed in the NPPES registry with a primary specialty of Home Health Agency in Rochester, NY and a listed phone number of (585) 484-3550.
Profile Overview
- NPI
- 1265543706
- Provider Type
- Organization
- Primary Specialty
- Home Health Agency
- Enumeration Date
- August 31, 2006
- Last Updated
- September 24, 2019
Practice Location
- 150 State St Ste 300
- Rochester, NY 14614-1353
Phone: (585) 484-3550
Mailing Address
- 7227 Lee Deforest RD
- Columbia, MD 21046-3236
Specialties
- Home Health Agency (251E00000X)
Full Record
- NPI
- 1265543706
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Maxim Of New York, LLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 7227 Lee Deforest RD
- Mailing City
- Columbia
- Mailing State
- MD
- Mailing ZIP Code
- 21046-3236
- Mailing Country
- US
- Practice Street Address
- 150 State St Ste 300
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14614-1353
- Practice Country
- US
- Practice Phone
- (585) 484-3550
- Enumeration Date
- August 31, 2006
- Last Updated
- September 24, 2019
- Authorized Official Last Name
- Kowalczyk
- Authorized Official First Name
- David
- Authorized Official Title
- Vp Of Finance
- Authorized Official Phone
- (410) 910-1500
- Organization Subpart
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Health Agency (251E00000X)
- Other Identifiers
- 02621396-003 (NY), 02319175-005 (NY), 0232438507 (NY)