Maxian, Tina A

Maxian, Tina A is an individual health care provider with primary practice located at 4433 Vestal Pkwy E , Vestal NY 13850-3556. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is her primary health care specialty. Maxian, Tina A can be contacted via phone (607) 771-2220.

Contact Information

Primary practice address
4433 Vestal Pkwy E Vestal NY 13850-3556
Phone: (607) 771-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 231462 New York
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 231462 New York
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 017349 Maine
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 231462 New York

Profile Details

NPI number 1467457416
LBN Legal business name Maxian, Tina A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 5th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467457416 NPPES
New York MEDICAID 02531579

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