NPI 1023377611

Maxine Rosemarie Harris

Practitioner Adult Care Home Facility Queens Village, NY

Practice location

Address: 220-08 109 Avenue, Queens Village, NY 11429
Phone: (917) 226-7249
Mailing address: 22008 109th Ave, Queens Village, NY 11429-2515

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 460234-1 (NY)

Other Custodial Care Facility providers in New York →

Registry record

NPI: 1023377611
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2012
Record last updated: 16 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.