Organization
ACHIEVE BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOOPER (PRACTICE CONTACT)
(914) 328-2868
Entity
Organization
Contact information
Practice address
1425 140 STREET, WHITESTONE, NY 11357
(917) 334-2903
Mailing address
1425 140 STREET, WHITESTONE, NY 11357
(917) 334-2903
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
NY
Other
Enumeration date
10/03/2013
Last updated
07/21/2022
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