Organization
COMMUNITY HEALTHCARE NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DJIBO (DIRECTOR OF MANAGED CARE)
(212) 545-2439
Entity
Organization
Contact information
Practice address
9704 SUTPHIN BLVD, JAMAICA, NY 11435-4721
(718) 657-7088
(718) 657-7092
Mailing address
60 MADISON AVE, FLOOR 5, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
ACG6747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
02/14/2007
Last updated
09/01/2010
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