Maksa, Dinara
Maksa, Dinara is an sole proprietor health care provider with primary practice located at 61 Deepdene Rd , Forest Hills NY 11375-6061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maksa, Dinara can be contacted via phone (917) 509-0139.Contact Information
Primary practice address
61 Deepdene Rd
Forest Hills NY 11375-6061
Phone: (917) 509-0139
Fax: (718) 836-5147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015776-1 | New York |
Profile Details
| NPI number | 1124109939 |
|---|---|
| LBN Legal business name | Maksa, Dinara |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Oct 25th, 2013 - about 13 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 | 1124109939 | NPPES |
| New York | MEDICAID | 02547148 |
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