Organization
MAGARET ULTRA
Active
Parent organization
MAGARET ULTRA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGARET ULTRA
Authorized official
MR. JUDE U IFEBI (LICENSED PRACTICAL NURSE)
(646) 330-0896
Entity
Organization
Contact information
Practice address
172 LAKE AVE, STATEN ISLAND, NY 10303-2724
(718) 815-8089
Mailing address
172 LAKE AVE, STATEN ISLAND, NY 10303-2724
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
296840
NY
Other
Enumeration date
02/28/2010
Last updated
02/28/2010
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