National Provider Identifier
Maxim Golovlev
Maxim Golovlev is listed in the NPPES registry with a primary specialty of Durable Medical Equipment & Medical Supplies in Rochester, NY and a listed phone number of (347) 777-3965.
Profile Overview
- NPI
- 1962226837
- Provider Type
- Individual
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- November 08, 2024
- Last Updated
- November 08, 2024
Practice Location
- 130 Metro Park
- Rochester, NY 14623-2610
Phone: (347) 777-3965
Specialties
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1962226837
- Entity Type
- Individual
- Last Name
- Golovlev
- First Name
- Maxim
- Mailing Street Address
- 130 Metro Park
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2610
- Mailing Country
- US
- Practice Street Address
- 130 Metro Park
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2610
- Practice Country
- US
- Practice Phone
- (347) 777-3965
- Enumeration Date
- November 08, 2024
- Last Updated
- November 08, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Durable Medical Equipment & Medical Supplies (332B00000X)