Organization
EXTRAORDINARY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDERIQUE ALTIDOR (MANAGER)
(718) 281-8688
Entity
Organization
Contact information
Practice address
333 EARLE OVINGTON BLVD STE 600, UNIONDALE, NY 11553-3622
(718) 281-8600
Mailing address
333 EARLE OVINGTON BLVD STE 600, UNIONDALE, NY 11553-3622
(718) 281-8600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/14/2010
Last updated
01/06/2025
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