Organization
TRI CARE MIDWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJ WEISS (FINANCE)
(718) 670-6300
Entity
Organization
Contact information
Practice address
1794 CONEY ISLAND AVE, BROOKLYN, NY 11230-6502
(718) 787-0170
Mailing address
3001 AVENUE M, BROOKLYN, NY 11210-4744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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