Organization
CACIQUE COMMUNITY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO MIGUEL PAULINO (PRESIDENT)
(917) 284-5608
Entity
Organization
Contact information
Practice address
85 POST AVE APT 52, NEW YORK, NY 10034-4727
(917) 284-5608
Mailing address
85 POST AVE APT 52, NEW YORK, NY 10034-4727
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/19/2010
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