Organization
INTEGRA MLTC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIGAY LASKIN (CONTRACT MANAGER)
(718) 468-4747
Entity
Organization
Contact information
Practice address
2701 EMMONS AVE, BROOKLYN, NY 11235-2209
(347) 505-3457
Mailing address
22215 NORTHERN BLVD, 3RD FLOOR, BAYSIDE, NY 11361-3678
(718) 468-4747
(718) 264-5834
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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