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Organization
SENIOR WHOLE HEALTH OF NEW YORK, INC
Active
Organization
SENIOR WHOLE HEALTH OF NEW YORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THURMAN JUSTICE (CFO)
(617) 494-5353
Entity
Organization
Contact information
Practice address
111 BROADWAY RM 1505, NEW YORK, NY 10006-1926
(617) 494-5353
Mailing address
58 CHARLES ST, CAMBRIDGE, MA 02141-2128
(617) 494-5353
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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