Organization
SENIOR NETWORK HEALTH, LLC
Active
Parent organization
MOHAWK VALLEY NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOHAWK VALLEY NETWORK
Authorized official
MRS. ANDREA LAZAREK-LAQUAY (DIRECTOR/CHIEF OPERATING OFFICER)
(315) 624-4555
Entity
Organization
Contact information
Practice address
2521 SUNSET AVE, UTICA, NY 13502-5825
(315) 624-4565
(315) 624-4541
Mailing address
2521 SUNSET AVE, UTICA, NY 13502-5825
(315) 624-4565
(315) 624-4541
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
01778523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01778523
—
NY
Enumeration date
06/26/2008
Last updated
06/26/2008
About Stedi
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