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Organization

NEW EXPERIENCE #1, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD LEON (VICE PRESIDENT)
(718) 729-0000
Entity
Organization

Contact information

Practice address
3833 29TH ST, LONG ISLAND CITY, NY 11101-2714
(718) 729-0000
(718) 729-2024
Mailing address
3833 29TH ST, LONG ISLAND CITY, NY 11101-2714
(718) 729-0000
(718) 729-2024

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B01467
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04173800
NY
Enumeration date
01/15/2016
Last updated
01/15/2016
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