# E. SHOLOM INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003171455
- **Authorized official:** MS. ARLENE FLORES (SERVICE COORDINATOR)
- **Authorized official phone:** (718) 441-0155

## Contact information

- **Practice address:** 13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
- **Practice address phone:** (718) 441-0155
- **Practice address fax:** (718) 850-4720
- **Mailing address:** 13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
- **Mailing address phone:** (718) 441-0155
- **Mailing address fax:** (718) 850-4720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 07/11/2012