Organization
CREATE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY ELIE LAQUINTE PA (PRIMARY CARE PA)
(212) 663-1596
Entity
Organization
Contact information
Practice address
73 MALCOLM X BLVD # 75, NEW YORK, NY 10026-3007
(212) 663-1596
(212) 663-1323
Mailing address
73 MALCOLM X BLVD # 75, NEW YORK, NY 10026-3007
(212) 663-1596
(212) 663-1323
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
010988
NY
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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