Organization
STALIONGROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAOUSSOU SAVANE (LICENSED PRACTICAL NURSE)
(646) 318-2946
Entity
Organization
Contact information
Practice address
500 W 57TH ST, NEW YORK, NY 10019-2902
(212) 293-3000
Mailing address
2295 2ND AVE APT 2A, NEW YORK, NY 10035-4812
(646) 318-2946
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
3193841
NY
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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