Organization
ELDERSERVE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN Y. ALDRICH (EXECUTIVE VICE PRESIDENT)
(800) 370-3600
Entity
Organization
Contact information
Practice address
94 W 225TH ST FL 2, BRONX, NY 10463-7021
(800) 370-3600
Mailing address
94 W 225TH ST FL 2, BRONX, NY 10463-7021
(800) 370-3600
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C026584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03234044
—
NY
Enumeration date
09/16/2010
Last updated
07/24/2014
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