MEDICARE: MAASER CD PAP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332U00000X	Home Delivered Meals
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619415676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAASER CD PAP, INC.

Provider Business Mailing Address
First Line	:	180 WEST END AVENUE
Second Line	:	APT. 15G
City	:	NEW YORK
State	:	NY
Zip	:	10023
Country	:	US
Telephone Number	:	718-427-5265
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 BRIGHTON BEACH AVE FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5558
Country	:	US
Telephone Number	:	718-427-5265
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	VIOLETTA LIVSHIZ
Credential	:
Telephone Number	:	718-427-5265

Provider Enumeration Date	:	02/09/2017
Last Update Date	:	05/07/2018

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