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Organization

F.R.S. INTERVENTION SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRITZ RICHARD SHAW (PRESIDENT/OWNER)
(917) 328-0878
Entity
Organization

Contact information

Practice address
8 PAGE RD, VALLEY STREAM, NY 11581-3330
(917) 328-0878
Mailing address
8 PAGE RD, VALLEY STREAM, NY 11581-3330
(917) 328-0878

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NY

Other

Enumeration date
12/31/2013
Last updated
12/31/2013
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