# CINQ-NY HEALTH HOME IPA, LLC

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

## Provider details

- **NPI number:** 1679236756
- **Authorized official:** WILLIAM A HAGAN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (602) 920-5231

## Contact information

- **Practice address:** 564 NIAGARA ST BLDG 2, BUFFALO, NY 14201-1108
- **Practice address phone:** (716) 247-5282
- **Mailing address:** 6536 E GREYTHORN DR, SCOTTSDALE, AZ 85266-6761
- **Mailing address phone:** (602) 920-5231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2021
- **Last updated:** 10/15/2021