Phycare Ipa

NPI 1225469505 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1225469505
Enumeration Date 12/11/2013
Last Updated 12/11/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GILBERT G GILBERT
Position CEO
Phone (516) 823-8900
Fax (516) 823-0520
Practice Location
20 E SUNRISE HWY
SUITE 301
VALLEY STREAM NY, 11581-1260, US
Phone (516) 823-8900
Fax (516) 823-0520
Business Location
20 E SUNRISE HWY
SUITE 301
VALLEY STREAM NY, 11581-1260, US
Phone (516) 823-8900
Fax (516) 823-0520
Toxanomy
Taxonomy Code 302F00000X
License State
License Number
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According to our database, Phycare Ipa NPI is 1225469505, taxonomy code is 302F00000X Phycare Ipa physically located at 20 E Sunrise Hwy, Valley Stream NY, 11581-1260. NPI Number 1033115704 has the healthcare provider type.

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1225469505 NPI number is provided on an as is basis without warranty of any kind. 1225469505 is maintained by the National Plan & Provider Enumeration System. The contents of Phycare Ipa are for informational purposes only.