Setts Providerlcan LLC

NPI #1982213575 in Mount Vernon, New York

Provider Information

NPI Number: 1982213575
Entity Type: Organization
Organization Name: Setts Providerlcan LLC
Primary Specialty: Specialist
Enumeration Date: Jul 29, 2020
Last Updated: Jul 30, 2020

Practice Location

Address: 465 E LINCOLN AVE
City: Mount Vernon
State: New York
ZIP Code: 10552-3555
Phone: (347) 560-9661

Authorized Official

Name: MS. LA SHEUNE CANTEY
Title: EXECUTIVE DIRECTOR
Phone: (347) 560-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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