DIVERSE IPA INC

FLUSHING, NY
NPI1558113910
Entity TypeOrganization
Authorized ContactQI CHEN
Manager
929-629-8277
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2024-04-01
Last Update Date2024-04-01
Business Address
DIVERSE IPA INC
3712 PRINCE ST STE 8C
FLUSHING, NY 11354-4652
Phone number: 929-629-8277
Mailing Address
DIVERSE IPA INC
3712 PRINCE ST STE 8C
FLUSHING, NY 11354-4652
Phone number:
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