Maxim Kreditor Md Pc

LBN: Maxim Kreditor Md Pc
Maxim Kreditor Md Pc is an health care organization with primary practice located at 380 2Nd Avenue Suite 1003, New York NY 10010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as the primary health care specialty. Maxim Kreditor Md Pc can be contacted via phone (212) 448-9555, or through Kreditor, Maxim via phone (212) 448-9555.

Contact Information

Primary practice address
380 2Nd Avenue Suite 1003 New York NY 10010
Phone: (212) 448-9555
Fax: (212) 448-0999
Website:
Map and Directions
Authorized official contact:
Name: Kreditor, Maxim Doctor of Medicine (MD)
Phone: (212) 448-9555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 216136 New York

Profile Details

NPI number 1871784504
LBN Legal business name Maxim Kreditor Md Pc
DBA Doing business as
Authorized official Kreditor, Maxim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2007
Last updated Aug 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871784504 NPPES
New York MEDICAID 02568638

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