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Organization
FAMILY PEDIATRIC HOME CARE
Active
Organization
FAMILY PEDIATRIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KADIATU KOROMA NURSING (LPN)
(516) 850-0643
Entity
Organization
Contact information
Practice address
50 CLINTON STREET, SUITE 601, HEMPSTEAD, NY 11550-2314
(516) 993-0485
(516) 993-1923
Mailing address
100 TERRACE AVE, APT 555, HEMPSTEAD, NY 11550
(516) 850-0643
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
309696-1
NY
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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