# COMPLEXCARE SOLUTIONS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1376981639
- **Authorized official:** ERIN O'CONNOR (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (347) 761-3286

## Contact information

- **Practice address:** 75 BROAD ST RM 815, NEW YORK, NY 10004-3233
- **Practice address phone:** (134) 776-1328
- **Practice address fax:** (718) 732-2638
- **Mailing address:** 75 BROAD ST RM 815, NEW YORK, NY 10004-3233
- **Mailing address phone:** (134) 776-1328
- **Mailing address fax:** (718) 732-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 016528 | NY | Yes |

## Other

- **Enumeration date:** 06/10/2013
- **Last updated:** 06/10/2013