Organization
GUILDNET, INC.
Active
Parent organization
FIDA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIDA
Authorized official
MS. KELLYANNE CAIVANO (SVP - FINANCE)
(212) 769-6286
Entity
Organization
Contact information
Practice address
15 W 65TH ST, NEW YORK, NY 10023-6601
(212) 769-6200
Mailing address
15 W 65TH ST, NEW YORK, NY 10023-6601
(212) 769-6200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03863105
—
NY
Enumeration date
06/22/2015
Last updated
06/22/2015
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