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Organization
SUPREME THERAPY SERVICES, LLC
Active
Organization
SUPREME THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CHIFUNDA (OWNER)
(917) 628-3767
Entity
Organization
Contact information
Practice address
116 W 23RD ST STE 5-552, NEW YORK, NY 10011-2599
(917) 628-3767
(718) 231-1913
Mailing address
116 W 23RD ST STE 5-552, NEW YORK, NY 10011-2599
(917) 628-3767
(718) 231-1913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
019090-1
NY
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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