| NPI | 1528447679 |
|---|---|
| Doing Business As | IDCC HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANA G TEJADA Executive Assistant 929-273-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-08-03 |