Individual
ENRIQUETA CONCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 72ND ST FL 2, MASPETH, NY 11378-1724
(917) 225-0838
Mailing address
5301 72ND ST FL 2, MASPETH, NY 11378-1724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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