Miller, Maxx

Miller, Maxx is an individual health care provider with primary practice located at 8002 Kew Gardens Rd Ste 704 , Kew Gardens NY 11415-3607. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Miller, Maxx can be contacted via phone (718) 520-1513.

Contact Information

Primary practice address
8002 Kew Gardens Rd Ste 704 Kew Gardens NY 11415-3607
Phone: (718) 520-1513
Fax: (718) 520-6460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1346798212
LBN Legal business name Miller, Maxx
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Nov 23rd, 2016 - about 10 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 1346798212 NPPES
New York MEDICAID 01420795

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