Harris, Maxine Rosemarie
Harris, Maxine Rosemarie is an sole proprietor health care provider with primary practice located at 220-08 109 Avenue , Queens Village NY 11429. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Harris, Maxine Rosemarie can be contacted via phone (917) 226-7249.Contact Information
Primary practice address
220-08 109 Avenue
Queens Village NY 11429
Phone: (917) 226-7249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 460234-1 | New York |
Profile Details
| NPI number | 1023377611 |
|---|---|
| LBN Legal business name | Harris, Maxine Rosemarie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2012 |
| Last updated | May 16th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023377611 | NPPES |
| New York | Other | TF7175290 | NPI |
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