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Organization
LONG ISLAND PEDIATRIC HOMECARE
Active
Organization
LONG ISLAND PEDIATRIC HOMECARE
Active
Parent organization
TRIBORO HOMECARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIBORO HOMECARE
Authorized official
MISS MEAGHAN MACDONALD (NURSE)
(631) 671-5191
Entity
Organization
Contact information
Practice address
389 THIRTY THIRD STREET, LINDENHURST, NY 11757
(631) 671-5191
Mailing address
389 33RD ST, LINDENHURST, NY 11757-3240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
705878-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567891011121314
—
NY
Enumeration date
12/18/2015
Last updated
12/18/2015
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