National Provider Identifier
Max Destino
Max Destino is listed in the NPPES registry with a primary specialty of Registered Nurse in Niagara Falls, NY and a listed phone number of (716) 940-8046.
Profile Overview
- NPI
- 1700520244
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 21, 2022
- Last Updated
- April 21, 2022
Practice Location
- 1333 Roselle Ave
- Niagara Falls, NY 14305-1643
Phone: (716) 940-8046
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1700520244
- Entity Type
- Individual
- Last Name
- Destino
- First Name
- Max
- Mailing Street Address
- 1333 Roselle Ave
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14305-1643
- Mailing Country
- US
- Mailing Phone
- (716) 940-8046
- Practice Street Address
- 1333 Roselle Ave
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14305-1643
- Practice Country
- US
- Practice Phone
- (716) 940-8046
- Enumeration Date
- April 21, 2022
- Last Updated
- April 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)