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1043790355
IDUHA IPA LLC
NEW YORK, NY
NPI
1043790355
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Entity Type
Organization
Authorized Contact
KEVIN MUIR
Executive Director
718-637-3045
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
IDUHA IPA LLC
307 W 38TH ST
NEW YORK, NY 10018-2913
Phone number: 718-637-3045
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Mailing Address
IDUHA IPA LLC
307 W 38TH ST ROOM 03-049
NEW YORK, NY 10018-2913
Phone number:
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