Organization
VISITING AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX PANTELO (CEO)
(347) 850-4477
Entity
Organization
Contact information
Practice address
2744 HYLAN BLVD # 153, STATEN ISLAND, NY 10306-4658
(347) 850-4477
Mailing address
2744 HYLAN BLVD # 153, STATEN ISLAND, NY 10306-4658
Taxonomy
Speciality
Code
Description
License number
State
1744G0900X
Graphics Designer
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
10/26/2020
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