Organization
MADONNA SERVICE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SPECTOR (COO)
(516) 433-5018
Entity
Organization
Contact information
Practice address
375 N BROADWAY, SUITE LL2, JERICHO, NY 11753-2016
(516) 433-5018
(516) 433-5084
Mailing address
300 OLD COUNTRY RD, SUITE 202, MINEOLA, NY 11501-4198
(516) 747-4616
(516) 747-4756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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