Organization
MOTHER GOOSE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEVEY MD MPH (CEO)
(646) 290-9560
Entity
Organization
Contact information
Practice address
2 FERNDALE RD, PLEASANTVILLE, NY 10570-2537
(917) 566-6543
Mailing address
2 FERNDALE RD, PLEASANTVILLE, NY 10570-2537
(917) 566-6543
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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