Provider Demographics
NPI:1073151379
Name:ROBINSON-MURRAY, MAXINE DAWN
Entity Type:Individual
Prefix:
First Name:MAXINE
Middle Name:DAWN
Last Name:ROBINSON-MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 PENALUNA RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-4256
Mailing Address - Country:US
Mailing Address - Phone:845-544-2484
Mailing Address - Fax:
Practice Address - Street 1:260 PENALUNA RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4256
Practice Address - Country:US
Practice Address - Phone:845-544-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty