Organization
QUALITY OBS ALLIANCE IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WINAKOR (MEMBER)
(516) 807-9324
Entity
Organization
Contact information
Practice address
992 S 2ND ST, RONKONKOMA, NY 11779-7204
(516) 807-9324
Mailing address
992 S 2ND ST, RONKONKOMA, NY 11779-7204
(516) 807-9324
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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