Maxwell, Gail
Maxwell, Gail is an individual health care provider with primary practice located at 80 Air Park Dr , Ronkonkoma NY 11779-7360. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Maxwell, Gail can be contacted via phone (631) 981-0034.Contact Information
Primary practice address
80 Air Park Dr
Ronkonkoma NY 11779-7360
Phone: (631) 981-0034
Fax: (631) 981-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 040999 | New York |
Profile Details
| NPI number | 1760704829 |
|---|---|
| LBN Legal business name | Maxwell, Gail |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2010 |
| Last updated | Feb 17th, 2010 - about 14 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 | 1760704829 | NPPES |
| New York | MEDICAID | 02118303 |
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