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Organization
NEW YORK NETWORK MANAGMENT
Active
Organization
NEW YORK NETWORK MANAGMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELLA BANGY M.D. (DOCTOR)
(718) 762-4500
Entity
Organization
Contact information
Practice address
6711 164TH ST, FLUSHING, NY 11365-3162
(718) 762-4500
(718) 762-1917
Mailing address
6711 164TH ST, FLUSHING, NY 11365-3162
(718) 762-4500
(718) 762-1917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2107473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10201854
AMERIGROUP COMMUNITY CARE
NY
Enumeration date
01/09/2008
Last updated
01/09/2008
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