LSA

Exclusive Provider Organization

NPI: 1790145852Organization

Specialties, Licenses & Credentials

Exclusive Provider OrganizationPrimary

Exclusive Provider Organization

Code: 302F00000X

261QR0401X(NY)

Contact & Hours

Address: 1300 AVENUE P
BROOKLYN, NY 11229
Phone: (718) 645-9183

Quick Facts

NPI: 1790145852
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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