Healthcare Provider Details

I. General information

NPI: 1912378399
Provider Name (Legal Business Name): CURIS PARTNERS IPA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2015
Last Update Date: 10/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 W RED OAK LN SUITE 310
WHITE PLAINS NY
10604-3603
US

IV. Provider business mailing address

4 W RED OAK LN SUITE 310
WHITE PLAINS NY
10604-3603
US

V. Phone/Fax

Practice location:
  • Phone: 914-506-4170
  • Fax:
Mailing address:
  • Phone: 914-506-4170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RONALD MOLLOY
Title or Position: CEO
Credential:
Phone: 914-719-6079