Organization
JBFCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA CARMONA BACHELORS IN SCIENCE (CASE MANAGEMENT)
(718) 982-6982
Entity
Organization
Contact information
Practice address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(718) 982-6982
Mailing address
47A ELM ST, STATEN ISLAND, NY 10310-1525
(718) 816-8748
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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