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Organization
NEW YORK STATE CATHOLIC HEALTH PLAN, INC.
Active
Organization
NEW YORK STATE CATHOLIC HEALTH PLAN, INC.
Active
Other names
Fidelis Care New York
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L LANE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(718) 896-6500
Entity
Organization
Contact information
Practice address
9525 QUEENS BLVD, 8TH FL, REGO PARK, NY 11374-4510
(718) 896-6500
(718) 896-2755
Mailing address
9525 QUEENS BLVD, 8TH FL, REGO PARK, NY 11374-4510
(718) 896-6500
(718) 896-2755
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C-027194
NY
Other
Enumeration date
10/14/2011
Last updated
10/28/2011
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