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Organization
SLA ASSOCIATES LLC
Active
Organization
SLA ASSOCIATES LLC
Active
Other names
IDCC Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANA G TEJADA (EXECUTIVE ASSISTANT)
(929) 273-7601
Entity
Organization
Contact information
Practice address
445 KINGS HWY, BROOKLYN, NY 11223-1780
(718) 621-1811
(718) 837-1274
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
(718) 382-3358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/21/2015
Last updated
08/03/2021
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