NPI 1225469505

Phycare Ipa

Organisation Exclusive Provider Organization Valley Stream, NY

Practice location

Address: 20 E Sunrise Hwy Suite 301, Valley Stream, NY 11581-1260
Phone: (516) 823-8900
Fax: (516) 823-0520

Authorised official

Name: Gilbert G Makabali
Title: Ceo
Phone: (516) 823-8900

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1225469505
Entity type: Organization
NPI issued: 11 Dec 2013
Record last updated: 11 Dec 2013

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.