Organization
ELDERPLAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BALKO (SR.VP CHIEF FINANCIAL OFFICER)
(718) 491-7221
Entity
Organization
Contact information
Practice address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 630-2510
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 630-2510
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03173113
—
NY
05
—
03186129
—
NY
05
—
03253707
—
NY
Enumeration date
04/16/2010
Last updated
07/21/2022
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