Organization
CATHOLIC SPECIAL NEEDS PLAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN MCGUIRE (SENIOR VICE PRESIDENT)
(212) 752-7300
Entity
Organization
Contact information
Practice address
1339 YORK AVE, NEW YORK, NY 10021-4707
(212) 752-7300
Mailing address
1339 YORK AVE, NEW YORK, NY 10021-4707
(212) 752-7300
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H1777
CMS PLAN CONTRACT NUMBER
—
Enumeration date
04/12/2007
Last updated
08/22/2020
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