Organization
HTA OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSE CRUZ (SERVICE COORDINATOR)
(845) 269-0350
Entity
Organization
Contact information
Practice address
87 BENSON ST APT 1A, WEST HAVERSTRAW, NY 10993-1302
(845) 893-6875
Mailing address
87 BENSON STREET APT 1A, WEST HAVERSTRAW, NY 10993
(845) 893-6875
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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