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Individual provider Active NPI Case Manager/Care Coordinator · Maspeth, NY

NPI 1992573489 · NPPES record last updated Dec 14, 2023

Key facts

NPI
1992573489
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5301 72ND St FL 2
Maspeth, NY 11378-1724
Phone
(917) 225-0838
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NY Yes

Addresses

Primary practice location

5301 72ND St FL 2
Maspeth, NY 11378-1724

Mailing address

5301 72ND St FL 2
Maspeth, NY 11378-1724

Other providers in Maspeth, NY

All providers in Maspeth, NY · Case Manager/Care Coordinator in New York

Sources for this page

Verify at the official NPI Registry.