Healthcare Provider Details

I. General information

NPI: 1518885771
Provider Name (Legal Business Name): MAX MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 GRAND AVE
NORTH BALDWIN NY
11510-1418
US

IV. Provider business mailing address

4633 CAMBER WELL LN
SUWANEE GA
30024-3006
US

V. Phone/Fax

Practice location:
  • Phone: 631-889-1517
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MAX JEAN-GILLES
Title or Position: OWNER
Credential: MD
Phone: 631-889-1517