Organization
ICARE OF NEW YORK IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANG GUO (CEO)
(347) 546-2966
Entity
Organization
Contact information
Practice address
5 PENN PLZ STE 2301, NEW YORK, NY 10001-1810
(347) 931-8999
Mailing address
5 PENN PLZ STE 2301, NEW YORK, NY 10001-1810
(347) 931-8999
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
404652
NY
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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