Organization
SENIOR WHOLE HEALTH OF NEW YORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THURMAN JUSTICE (CFO)
(617) 494-5353
Entity
Organization
Contact information
Practice address
111 BROADWAY RM 1505, NEW YORK, NY 10006-1926
(617) 494-5353
Mailing address
58 CHARLES ST, CAMBRIDGE, MA 02141-2128
(617) 494-5353
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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