AWIXA HOME OF LI, INC

BAY SHORE, NY
NPI1154789683
Entity TypeOrganization
Authorized ContactALYSE ROBIN CARDELLO
CEO
516-882-9492
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2016-01-28
Last Update Date2016-01-28
Business Address
AWIXA HOME OF LI, INC
199 BENTON PL
BAY SHORE, NY 11706-1507
Phone number: 516-882-9492
Mailing Address
AWIXA HOME OF LI, INC
301 CLEARVIEW LN
MASSAPEQUA, NY 11758-8505
Phone number: 516-882-9492
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