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Organization

LYMPHEDEMA MANAGEMENT ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH ANN WILLIAMS LMT, CLT (OWNER)
(718) 980-5161
Entity
Organization

Contact information

Practice address
97 NEW DORP LN, SUITE D, STATEN ISLAND, NY 10306-2364
(718) 980-5161
(718) 980-7068
Mailing address
97 NEW DORP LN, SUITE D, STATEN ISLAND, NY 10306-2364
(718) 980-5161
(718) 980-7068

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
005609-1
NY

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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