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1154089340
NEW SONG IPA LLC
NEW YORK, NY
NPI
1154089340
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Entity Type
Organization
Authorized Contact
JUAN VALLARINO
CEO
615-479-5512
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2021-12-04
Last Update Date
2023-02-02
Business Address
NEW SONG IPA LLC
885 3RD AVE FL 29
NEW YORK, NY 10022-4834
Phone number: 615-479-5512
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Mailing Address
NEW SONG IPA LLC
885 3RD AVE FL 29
NEW YORK, NY 10022-4834
Phone number: 615-479-5512
Copy
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