SearchNew York225700000X

Maxwell Ennist, LMT

NPI 1215535505 · on the registry since 2020 · sole proprietor

Practice

Address
210 Bedford Park Blvd
Bronx, NY 10467
Phone
(914) 315-9088

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York