Organization
ACHIEVE BEYONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA EDWARDS (DIRECTOR OF RECRUITMENT)
(631) 385-7780
Entity
Organization
Contact information
Practice address
538 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
538 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-3676
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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