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Organization

CINQ-NY-IPA LLC

Active
Parent organization
CINQNY HOLDINGS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CINQNY HOLDINGS LLC
Authorized official
MRS. STEVE SWIFT CFO (BILLING PROJECT MANAGER)
(716) 247-5282
Entity
Organization

Contact information

Practice address
30 BROAD ST, NEW YORK, NY 10004-2304
(716) 247-5282
Mailing address
30 BROAD ST, NEW YORK, NY 10004-2304

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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