Julian, Maximo B.

Julian, Maximo B. is an sole proprietor health care provider with primary practice located at 255 Fort Washington Ave Suite #2, New York NY 10032-1229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Julian, Maximo B. can be contacted via phone (212) 568-1000.

Contact Information

Primary practice address
255 Fort Washington Ave Suite #2 New York NY 10032-1229
Fax: (212) 740-1438
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 133408 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 133408 New York

Profile Details

NPI number 1811060833
LBN Legal business name Julian, Maximo B.
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1811060833 NPPES
New York MEDICAID 00275296

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