Organization
PREVENTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GINO LOUIS (PRESIDENT)
(718) 781-6373
Entity
Organization
Contact information
Practice address
14839 231ST ST, SPRINGFIELD GARDENS, NY 11413-4244
(718) 781-6373
Mailing address
14839 231ST ST, SPRINGFIELD GARDENS, NY 11413-4244
(718) 781-6373
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
09/30/2022
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