Organization
HOTEL TRADES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY ALICIA COGER LPN (LICENSED PRACTICAL NURSE)
(646) 335-3733
Entity
Organization
Contact information
Practice address
420 E 102ND ST, SUITE 2P, NEW YORK, NY 10029-5862
(646) 335-3733
Mailing address
420 E 102ND ST, SUITE 2P, NEW YORK, NY 10029-5862
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
190754-1
NY
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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