Organization
INTERGEN HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH FREEDMAN (ADMINISTRATOR)
(718) 346-1000
Entity
Organization
Contact information
Practice address
1601 BRONXDALE AVE, SUITE 204, BRONX, NY 10462-3364
(718) 346-1000
(718) 346-1003
Mailing address
1601 BRONXDALE AVE, SUITE 204, BRONX, NY 10462-3364
(718) 346-1000
(718) 346-1003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1763L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1763L001
NYS DOH LICENSE NUMBER
NY
Enumeration date
04/24/2015
Last updated
02/11/2022
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