Organization
POISED ONDEMAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL JOHNSON (DIRECTOR)
(914) 486-2907
Entity
Organization
Contact information
Practice address
41 BOND STREET, APT 3W, HARTFORD, CT 06114
(914) 486-2907
Mailing address
649 BRONX RIVER RD, YONKERS, NY 10704-1700
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1154710275
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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