Maynard, Michael Jude

Maynard, Michael Jude is an sole proprietor health care provider with primary practice located at 535 E 70Th St , New York NY 10021-4872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Maynard, Michael Jude can be contacted via phone (212) 628-3523.

Contact Information

Primary practice address
535 E 70Th St New York NY 10021-4872
Phone: (212) 628-3523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 168756 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 168756 New York

Profile Details

NPI number 1861467649
LBN Legal business name Maynard, Michael Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated May 9th, 2008 - about 17 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 1861467649 NPPES
New York MEDICAID 02694062
New York Other 65268ANX51
New York Other WANX51

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