Maxwell, Marina Jane

Maxwell, Marina Jane is an sole proprietor health care provider with primary practice located at 25 Kniskern Ave , Mechanicville NY 12118-2124. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Maxwell, Marina Jane can be contacted via phone (518) 664-7336.

Contact Information

Primary practice address
25 Kniskern Ave Mechanicville NY 12118-2124
Phone: (518) 664-7336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X New York
Behavioral Health & Social Service Providers / School 1041S0200X New York

Profile Details

NPI number 1619574142
LBN Legal business name Maxwell, Marina Jane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2020
Last updated May 18th, 2022 - about 2 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.

Request for update

Popular Providers