# NEW YORK STATE CATHOLIC HEALTH PLAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fidelis Care New York
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205111861
- **Authorized official:** MARK L LANE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (718) 896-6500

## Contact information

- **Practice address:** 9525 QUEENS BLVD, 8TH FL, REGO PARK, NY 11374-4510
- **Practice address phone:** (718) 896-6500
- **Practice address fax:** (718) 896-2755
- **Mailing address:** 9525 QUEENS BLVD, 8TH FL, REGO PARK, NY 11374-4510
- **Mailing address phone:** (718) 896-6500
- **Mailing address fax:** (718) 896-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | C-027194 | NY | Yes |

## Other

- **Enumeration date:** 10/14/2011
- **Last updated:** 10/28/2011