Maxine Hercules
NPI 1619668522 · on the registry since 2023
Practice
- Address
- 288 Larkin Dr
Monroe, NY 10950 - Phone
- (845) 783-1112
- Fax
- (845) 783-1161
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-19
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