Organization
COMPLEX CARE SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CONDOS (COMPLIANCE MANAGER)
(718) 732-2638
Entity
Organization
Contact information
Practice address
1561 METROPOLITAN AVE, APT 6A, BRONX, NY 10462-6231
(347) 293-6365
Mailing address
75 BROAD ST, 815, NEW YORK, NY 10004-2415
(931) 455-2279
(267) 393-7697
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
015916
NY
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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