Organization
MARGRET ULTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BINTU LOLA GLOVER (LPN)
17186667060
Entity
Organization
Contact information
Practice address
34 BEACH ST, STATEN ISLAND, NY 10304-2702
(718) 815-8089
Mailing address
15 SANDRA LN, APT 19A, STATEN ISLAND, NY 10304-3656
(718) 666-7060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
296558
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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