Organization
PILGRIM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PUCCIO (DIRECTOR FINANCE)
(518) 473-0795
Entity
Organization
Contact information
Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1087
(631) 761-3500
Mailing address
44 HOLLAND AVE, ALBANY, NY 12229-0001
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02890962
—
NY
Enumeration date
08/14/2007
Last updated
08/28/2014
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