Gage, Maxine Granz

Gage, Maxine Granz is an sole proprietor health care provider with primary practice located at 18 Broad St , Johnson City NY 13790-2106. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gage, Maxine Granz can be contacted via phone (607) 798-7117.

Contact Information

Primary practice address
18 Broad St Johnson City NY 13790-2106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X New York

Profile Details

NPI number 1184723595
LBN Legal business name Gage, Maxine Granz
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Jul 26th, 2007 - 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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