Organization
MOTHER GOOSE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEVEY MD (CEO)
(917) 566-6543
Entity
Organization
Contact information
Practice address
90 MAIDEN LN, NEW YORK, NY 10038-4831
(917) 566-6543
Mailing address
90 MAIDEN LN, NEW YORK, NY 10038-4831
(917) 566-6543
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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