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Organization

SUPPLEMENTAL HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA INDIG (MARKET MANAGER)
(212) 209-3910
Entity
Organization

Contact information

Practice address
708 3RD AVE FL 5, NEW YORK, NY 10017-4201
(212) 209-3910
(855) 858-2037
Mailing address
708 3RD AVE FL 5, NEW YORK, NY 10017-4201
(212) 209-3910
(855) 858-2037

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
022230-1
NY

Other

Enumeration date
10/10/2012
Last updated
10/10/2012
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