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Organization
NIAGARA ADVANTAGE HEALTH PLAN, LLC
Active
Organization
NIAGARA ADVANTAGE HEALTH PLAN, LLC
Active
Other names
Elderwood Health Plan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY B. HOOK (CHIEF COMPLIANCE OFFICER)
(212) 802-7609
Entity
Organization
Contact information
Practice address
7 LIMESTONE DR, WILLIAMSVILLE, NY 14221-7051
(716) 633-3900
Mailing address
7 LIMESTONE DR, WILLIAMSVILLE, NY 14221-7051
(716) 633-3900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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