Gaylord, Maxine C.
Gaylord, Maxine C. is an sole proprietor health care provider with primary practice located at 75 Maiden Ln Suite # 215, New York NY 10038-4810. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Gaylord, Maxine C. can be contacted via phone (917) 399-9117.Contact Information
Primary practice address
75 Maiden Ln Suite # 215
New York NY 10038-4810
Phone: (917) 399-9117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X |
Profile Details
| NPI number | 1396040721 |
|---|---|
| LBN Legal business name | Gaylord, Maxine C. |
| Credentials | L.C.S.W, BCD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2011 |
| Last updated | Jan 15th, 2011 - 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 | 1396040721 | NPPES |
| New York | Other | PR-026241 | LICENSSED CLINICAL SOCIAL WORKER |
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