Organization
ADVANCE ELITE SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERMAN FAYZIBAYEV (PRESIDENT)
(917) 660-3895
Entity
Organization
Contact information
Practice address
10516 JAMAICA AVE, RICHMOND HILL, NY 11418-2013
(917) 660-3895
Mailing address
10516 JAMAICA AVE, RICHMOND HILL, NY 11418-2013
(917) 660-3895
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2427L001
NY
Other
Enumeration date
11/30/2017
Last updated
12/21/2017
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