Organization
CENTERLIGHT HEALTHCARE, INC.
Active
Other names
PACE
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BUONOCORE-RUT (CHIEF EXECUTIVE OFFICER)
(833) 252-2737
Entity
Organization
Contact information
Practice address
13665 37TH AVE, FLUSHING, NY 11354-4110
(833) 252-2737
Mailing address
13665 37TH AVE, FLUSHING, NY 11354-4110
(347) 501-2901
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234037
—
NY
Enumeration date
03/27/2007
Last updated
05/28/2026
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