Organization
LIGHT 101, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX MARGULIS (ADMINISTRATOR)
(718) 676-9181
Entity
Organization
Contact information
Practice address
1954 78TH ST, 2ND FLOOR, BROOKLYN, NY 11214-1212
(718) 676-9181
(718) 676-9180
Mailing address
1954 78TH ST, 2ND FLOOR, BROOKLYN, NY 11214-1212
(718) 676-9181
(718) 676-9180
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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