Organization
INTEGRA MLTC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALEF (BUSINESS AND PRODUCT DEVELOPMENT LD)
(855) 800-4683
Entity
Organization
Contact information
Practice address
1981 MARCUS AVE, NEW HYDE PARK, NY 11042-2060
(855) 800-4683
Mailing address
3 DAKOTA DR STE 100, NEW HYDE PARK, NY 11042-1166
(855) 800-4683
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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