Organization
LIFESPIRE, INC.
Active
Other names
Association for CRMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ODDO (EXECUTIVE VICE PRESIDENT)
(212) 741-0100
Entity
Organization
Contact information
Practice address
184-10 JAMAICA AVE, 5TH FLOOR, HOLLIS, NY 11423-2400
(718) 454-6940
(718) 264-3203
Mailing address
1 WHITEHALL ST, 9TH FLOOR, NEW YORK, NY 10004-2109
(212) 741-0100
(646) 473-0589
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347755
—
NY
Enumeration date
06/28/2007
Last updated
06/22/2012
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