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Organization · Health Maintenance Organization · Staten Island, NY

NPI
1598031270
Type
Organization (Type 2)
Primary specialty
Health Maintenance Organization
Specialty group
Managed Care Organizations
Taxonomy code
302R00000X
License number
546312-1 (NY)
Enumerated
2012-03-28
Last updated
2012-03-28
Practice location
344 Fanning St
Staten Island, NY 10314-5889
(718) 477-2434

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