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NPI Code Detail

MEDICARE: AFFINITY

MEDICARE: AFFINITY
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
1251C00000XDevelopmentally Disabled Services Day Training Agency0ME

General Provider Information

NPI Number : 1215066287
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFINITY
Provider Business Mailing Address
First Line : 400 RIVERSIDE ST
Second Line : UNIT A4
City : PORTLAND
State : ME
Zip : 04103-1068
Country : US
Telephone Number : 207-747-1651
Fax Number : 207-747-4745
Provider Business Practice Location Address
First Line : 400 RIVERSIDE ST
Second Line : UNIT A4
City : PORTLAND
State : ME
Zip : 04103-1068
Country : US
Telephone Number : 207-747-1651
Fax Number : 207-747-4745
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DANIEL CHAIMOWITZ
Credential :
Telephone Number : 207-747-1651
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/21/2022

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Directions to “AFFINITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.