Provider Demographics
NPI:1578608287
Name:MAKSYM, ROSEMARY
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:MAKSYM
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 1:4602 RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1859
Mailing Address - Country:US
Mailing Address - Phone:216-355-4782
Mailing Address - Fax:216-351-7717
Practice Address - Street 1:4602 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1859
Practice Address - Country:US
Practice Address - Phone:216-355-4782
Practice Address - Fax:216-351-7717
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant