Organization
ONETWENTYONE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER GODFREY (CEO)
(716) 237-0126
Entity
Organization
Contact information
Practice address
5505 E LAKE RD, DEWITTVILLE, NY 14728-9763
(716) 237-0126
Mailing address
PO BOX 386, DEWITTVILLE, NY 14728-0386
(716) 237-0126
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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