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NPI #1639618028 in Astoria, New York

Provider Information

NPI Number
1639618028
Entity Type
Organization
Organization Name
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Primary Specialty
Case Management
Enumeration Date
Feb 17, 2017
Last Updated
Feb 17, 2017

Practice Location

Address
2857 45TH ST
ZIP Code
11103-1211
Phone
(516) 495-2298

Authorized Official

Name
SHARDEI LOUIS
Title
CEO
Phone
(516) 495-2298

Specialties & Taxonomy Codes

Specialty
Case Management

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