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Organization
HERITAGE NEW YORK, IPA
Active
Organization
HERITAGE NEW YORK, IPA
Active
Other names
HealthCare Partners, IPA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEOPOLDO R ICARANGAL III (COO)
(516) 515-8825
Entity
Organization
Contact information
Practice address
501 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530-5807
(516) 746-2200
Mailing address
501 FRANKLIN AVE STE 300, GARDEN CITY, NY 11530-5807
(516) 746-2200
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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