Provider Demographics
NPI:1346122199
Name:MAIORANA, JUSTIN GENE
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:GENE
Last Name:MAIORANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STILLMAN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-4031
Mailing Address - Country:US
Mailing Address - Phone:516-419-2295
Mailing Address - Fax:
Practice Address - Street 1:2 STILLMAN RD, GLEN COVE NY 11542
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542
Practice Address - Country:US
Practice Address - Phone:516-419-2295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker