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Organization
NEW YORK DIABETES CARE, RN, PLLC
Active
Organization
NEW YORK DIABETES CARE, RN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA HENDERSON M.D. (CFO)
(917) 620-5230
Entity
Organization
Contact information
Practice address
4 BOGARDUS PL, NEW YORK, NY 10040-2324
(917) 213-7184
(631) 206-9193
Mailing address
2604 3RD AVE, BRONX, NY 10454-1199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
157094
NY
Other
Enumeration date
07/06/2011
Last updated
07/14/2011
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