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Organization
SUPREME HOMECARE AGENCY OF NY INC
Active
Organization
SUPREME HOMECARE AGENCY OF NY INC
Active
Other names
NU Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNGSOON LEE (PRESIDENT)
(718) 888-0855
Entity
Organization
Contact information
Practice address
15405 NORTHERN BLVD FL 3, FLUSHING, NY 11354-6724
(718) 888-0855
(718) 353-9212
Mailing address
15405 NORTHERN BLVD FL 3, FLUSHING, NY 11354-6724
(718) 888-0855
(718) 353-9212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1935L001
NY
Other
Enumeration date
01/12/2016
Last updated
04/08/2026
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