Organization
LIFEPLAN CCO NY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN KRAFCHIN (BOARD CHAIR)
(518) 944-2100
Entity
Organization
Contact information
Practice address
1020 MARY ST, UTICA, NY 13501-1930
(315) 724-6907
Mailing address
22 CORPORATE WOODS BLVD, ALBANY, NY 12211-2374
(518) 944-2100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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