Organization
INTELLEX PRO GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETYANA VELEVYCH (PRESIDENT)
(347) 909-3607
Entity
Organization
Contact information
Practice address
1580 E 18TH ST APT 3L, BROOKLYN, NY 11230-7273
(347) 909-3607
(347) 338-2800
Mailing address
1580 E 18TH ST APT 3L, BROOKLYN, NY 11230-7273
(347) 909-3607
(347) 338-2800
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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