| NPI | 1467267054 |
|---|---|
| Doing Business As | KENNETH LEVEY |
| Doing Business As | MOTHER GOOSE MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | KENNETH LEVEY CEO 917-566-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |