Organization
NEW YORK QUALITY HEALTHCARE CORPORATION
Active
Other names
WellCare by Fidelis Care, Fidelis Care, Ambetter Health, Wellcare
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KOSHOREK (VP, ASSOCIATE GENERAL COUNSEL)
(313) 720-5567
Entity
Organization
Contact information
Practice address
2501 JACKSON AVE, LONG ISLAND CITY, NY 11101-5095
(888) 343-3547
Mailing address
7700 FORSYTH BLVD, SAINT LOUIS, MO 63105-1813
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C029339
NY
Other
Enumeration date
04/18/2018
Last updated
02/20/2026
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