Healthcare Provider Details

I. General information

NPI: 1720925928
Provider Name (Legal Business Name): HABIMAX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 SEAMAN AVE APT 1C
NEW YORK NY
10034-2823
US

IV. Provider business mailing address

72 SEAMAN AVE APT 1C
NEW YORK NY
10034-2823
US

V. Phone/Fax

Practice location:
  • Phone: 561-467-0724
  • Fax:
Mailing address:
  • Phone: 561-467-0724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. MAXIMILIAN D GEFFNER
Title or Position: CEO
Credential: APP
Phone: 561-467-0724