Organization
E. SHOLOM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARLENE FLORES (SERVICE COORDINATOR)
(718) 441-0155
Entity
Organization
Contact information
Practice address
13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
(718) 441-0155
(718) 850-4720
Mailing address
13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
(718) 441-0155
(718) 850-4720
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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