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Organization

COMMUNITY HEALTHCARE NETWORK, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN J. WENGROFSKY (CFO)
(212) 545-2481
Entity
Organization

Contact information

Practice address
2811 41ST ST, ASTORIA, NY 11103-3330
(718) 482-7772
(718) 482-9648
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7002119R
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
Enumeration date
09/06/2011
Last updated
09/06/2011
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