Organization
LIFE'S WORC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEG BARRY (CHIEF FINANCIAL OFFICER)
(516) 741-9000
Entity
Organization
Contact information
Practice address
1501 FRANKLIN AVE, GARDEN CITY, NY 11530-8165
(516) 741-9000
(516) 302-1802
Mailing address
1501 FRANKLIN AVE, PO BOX 8165, GARDEN CITY, NY 11530-8165
(516) 741-9000
(516) 302-1802
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2284229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02006013
—
NY
Enumeration date
01/25/2007
Last updated
08/22/2020
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