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Organization

AFFINITY HEALTH PLAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAURA BLUESTONE (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(866) 247-5678
Entity
Organization

Contact information

Practice address
2500 HALSEY ST, BRONX, NY 10461-3637
(866) 247-5678
Mailing address
2500 HALSEY ST, BRONX, NY 10461-3637
(866) 247-5678

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
00477156
NY

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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