# SENIOR WHOLE HEALTH OF NEW YORK, INC

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

## Provider details

- **NPI number:** 1548677883
- **Authorized official:** MR. THURMAN JUSTICE (CFO)
- **Authorized official phone:** (617) 494-5353

## Contact information

- **Practice address:** 111 BROADWAY RM 1505, NEW YORK, NY 10006-1926
- **Practice address phone:** (617) 494-5353
- **Mailing address:** 58 CHARLES ST, CAMBRIDGE, MA 02141-2128
- **Mailing address phone:** (617) 494-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2014
- **Last updated:** 07/18/2014