MAXIM KREDITOR MD PC


Address: 380 2nd Avenue, Suite 1003, New York, NY 10010
Phone: 2124489555

MAXIM KREDITOR MD PC (NPI# 1871784504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871784504
Entity Type Organization
Organization Name MAXIM KREDITOR MD PC
Practice Address 380 2nd Avenue
Suite 1003
New York
NY 10010
Mailing Address 380 2nd Ave
Suite 1003
New York
NY 10010-5615
Practice Telephone 2124489555
Practice Fax Number 2124480999
Mailing Telephone 2124489555
Mailing Fax Number 2124480999
Enumeration Date 2007-08-07
Last Update Date 2012-08-16
Authorized Official Name MAXIM KREDITOR (MD/OWNER)
Authorized Official Telephone 2124489555
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
216136 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02568638 05

Office Location

Street Address 380 2ND AVENUE
SUITE 1003
City NEW YORK
State NY
Zip Code 10010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124376728 Reynolds Medical P.C. Anesthesiology 380 2nd Avenue, Suite 1004, New York, NY 10010 2012-08-29

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NPI Name Taxonomy Address Enumeration
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1528695004 Marylee Ann Marre Nurse Practitioner 226 E 25th St Apt 3d, New York, NY 10010 2020-03-25
1750911632 Repair Physical Therapy PC Clinic/Center 204 East 25th Street, Suite 1, New York, NY 10010 2020-01-20
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1649837113 Metro Community Health Centers, Inc Clinic/Center 335 East 24th Street, Suite 1b, New York, NY 10010 2019-05-21
1144703687 Kimmy Ramotar Psychologist 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 2018-09-11
1922580406 Hye Soo Kim Dentist 345 E 24th St. 4w, New York, NY 10010 2018-08-31
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700417672 Carlos Henrique Dos Anjos Internal Medicine 300 E 66th St, New York, Ny, New York, NY 10065 2020-01-30
1710327721 Jarushka Naidoo Internal Medicine 475 Main St Apt 2l, Roosevelt Island, New York, NY 10044-0084 2013-07-05
1457617771 Wungki Park Internal Medicine 300 E 66th St Ofc 10065, New York, NY 10065-6800 2012-04-11
1659609931 Alexei Morozov Internal Medicine 1275 York Ave # 8, New York, NY 10065-6007 2009-11-25
1548496326 Maria J Nieto Internal Medicine 1 Gustave L Levy Pl # 1410, New York, NY 10029-6500 2009-06-07
1508019654 Marco Seandel Internal Medicine 1300 York Ave # 582, Lc-701, New York, NY 10065-4805 2008-11-02
1285880021 Jonathan Harry Schatz Internal Medicine 401 E 89th St Apt 7c, New York, NY 10128-6723 2008-08-12
1275799207 Conleth Gerrard Murphy Internal Medicine 425 Main St Apt 10p, Roosevelt Island, New York, NY 10044-0244 2008-07-30
1558528273 Arjun Vasant Balar Internal Medicine 320 W 38th St Apt 424, New York, NY 10018-5246 2008-05-20
1689798969 Glenn S Kroog Internal Medicine Memorial Sloan-kettering Cancer Center, 1275 York Avenue, New York, NY 10065 2007-03-19
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City NEW YORK
Zip Code 10010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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