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Organization
SENIOR NETWORK HEALTH, LLC
Active
Organization
SENIOR NETWORK HEALTH, LLC
Active
Parent organization
MOHAWK VALLEY NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOHAWK VALLEY NETWORK
Authorized official
MRS. ANDREA LAZAREK-LAQUAY (DIRECTOR/CHIEF OPERATING OFFICER)
(315) 624-4555
Entity
Organization
Contact information
Practice address
2521 SUNSET AVE, UTICA, NY 13502-5825
(315) 624-4565
(315) 624-4541
Mailing address
2521 SUNSET AVE, UTICA, NY 13502-5825
(315) 624-4565
(315) 624-4541
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
01778523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01778523
—
NY
Enumeration date
06/26/2008
Last updated
06/26/2008
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