LSA

BROOKLYN, NY
NPI1790145852
Entity TypeOrganization
Authorized ContactERTUANA JORGES
Director
973-342-9106
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: NY  261qr0401x)
Enumeration Date2016-03-02
Last Update Date2016-03-02
Business Address
LSA
1300 AVENUE P
BROOKLYN, NY 11229-1106
Phone number: 718-645-9183
Mailing Address
LSA
1300 AVENUE P
BROOKLYN, NY 11229-1106
Phone number: 718-645-9183