Organization
COMPLEXCARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN O'CONNOR (CREDENTIALING SPECIALIST)
(347) 761-3286
Entity
Organization
Contact information
Practice address
75 BROAD ST RM 815, NEW YORK, NY 10004-3233
(134) 776-1328
(718) 732-2638
Mailing address
75 BROAD ST RM 815, NEW YORK, NY 10004-3233
(134) 776-1328
(718) 732-2638
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
016528
NY
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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