Organization
ABA PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MCCARTHY NA (RECRUITER)
(212) 564-2350
Entity
Organization
Contact information
Practice address
1414 VST NW, APARTMENT 408, WASHINGTON, DC 20009
(757) 676-9162
Mailing address
1414 VST NW, APARTMENT 408, WASHINGTON, DC 20009
(757) 676-9162
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
000706-1
NY
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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