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Organization

CENTRAL IPA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QI CHEN (CEO)
(929) 629-8277
Entity
Organization

Contact information

Practice address
13703 NORTHERN BLVD FL 2, FLUSHING, NY 11354-4116
(929) 629-8277
Mailing address
13703 NORTHERN BLVD FL 2, FLUSHING, NY 11354-4116
(929) 629-8277

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
06/23/2025
Last updated
08/29/2025
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