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Organization

FAMILY PEDIATRIC HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KADIATU KOROMA NURSING (LPN)
(516) 850-0643
Entity
Organization

Contact information

Practice address
50 CLINTON STREET, SUITE 601, HEMPSTEAD, NY 11550-2314
(516) 993-0485
(516) 993-1923
Mailing address
100 TERRACE AVE, APT 555, HEMPSTEAD, NY 11550
(516) 850-0643

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
309696-1
NY

Other

Enumeration date
08/15/2014
Last updated
08/15/2014
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