Type not stated
Screen this subjectCOMMUNITY PRIMARY CARE MEDICAL SERV
Debarred entityUnited States. Named in 1 sanctions listing.
Sanctions and listings1
- Effective
- 27 Nov 2012
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00096808 |
| NPI number | 1518266097 |
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