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Organization

CCN -WNY IPA LLC

Active
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Organization

CCN -WNY IPA LLC

Active
Parent organization
EVICORE
Other names
New York Health Care Providers IPA LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EVICORE
Authorized official
MR. RICHARD W. KAPLAN (SENIOR VICE PRESIDENT)
(914) 251-0300
Entity
Organization

Contact information

Practice address
4 GREENWICH OFFICE PARK, FLOOR 2, GREENWICH, CT 06831-5153
(914) 251-0300
Mailing address
4 GREENWICH OFFICE PARK, FLOOR 2, GREENWICH, CT 06831-5153
(914) 251-0300

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
About Stedi
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