Organization
JUDITH LYNN HFA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LIEBERMAN (OPERATIONS MANAGER)
(718) 379-4400
Entity
Organization
Contact information
Practice address
1800 WARING AVE, BRONX, NY 10469-6331
(718) 379-4400
(718) 320-2442
Mailing address
1800 WARING AVE, BRONX, NY 10469-6331
(718) 379-4400
(718) 320-2442
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02517875
—
NY
Enumeration date
01/26/2007
Last updated
08/22/2020
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