NPI 1669833158

Ccn -Wny Ipa LLC

Organisation Preferred Provider Organization Greenwich, CT

Practice location

Address: 4 Greenwich Office Park Floor 2, Greenwich, CT 06831-5153
Phone: (914) 251-0300

Authorised official

Name: Richard W. Kaplan
Title: Senior Vice President
Phone: (914) 251-0300

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Connecticut →

Registry record

NPI: 1669833158
Entity type: Organization
NPI issued: 11 Mar 2016
Record last updated: 11 Mar 2016

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.