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NPI Code Detail

MEDICARE: CHOICE OF NEW ROCHELLE, INC.

MEDICARE: CHOICE OF NEW ROCHELLE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619161585
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICE OF NEW ROCHELLE, INC.
Provider Business Mailing Address
First Line : 420 NORTH AVE
Second Line : FLOOR 2
City : NEW ROCHELLE
State : NY
Zip : 10801-4160
Country : US
Telephone Number : 914-576-0173
Fax Number :
Provider Business Practice Location Address
First Line : 420 NORTH AVE
Second Line : FLOOR 2
City : NEW ROCHELLE
State : NY
Zip : 10801-4160
Country : US
Telephone Number : 914-576-0173
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : GUY H. FESSENDEN
Credential : MBA
Telephone Number : 914-576-0173
Provider Enumeration Date : 09/04/2007
Last Update Date : 10/03/2013

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Directions to “CHOICE OF NEW ROCHELLE, INC. ” Practice Location

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