NPI 1154089340

New Song Ipa LLC

Organisation Preferred Provider Organization New York, NY

Practice location

Address: 885 3rd Ave Fl 29, New York, NY 10022-4834
Phone: (615) 479-5512

Authorised official

Name: Juan Vallarino
Title: Ceo
Phone: (615) 479-5512

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in New York →

Registry record

NPI: 1154089340
Entity type: Organization
NPI issued: 4 Dec 2021
Record last updated: 2 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.