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La Risaralda Corp
Point of Service in Jackson Heights, New York
NPI 1386496347

La Risaralda Corp is a Point of Service based in Jackson Heights, NY. La Risaralda Corp practices in Jackson Heights, NY. The NPI Number for La Risaralda Corp is 1386496347 and holds a License No. (New York).

The current practice location address for La Risaralda Corp is 9104 37Th Ave, Jackson Heights, NY and can be reached out via phone at 718-651-2015.

Location: 9104 37Th Ave, Jackson Heights, NY, 11372-7920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386496347
Provider Name
La Risaralda Corp
Credential
Provider Entity Type
Organization
Address
9104 37Th Ave, Jackson Heights, NY, 11372-7920
Phone Number
718-651-2015
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
9104 37Th Ave
City
Jackson Heights
State
New York
Zip
11372-7920
Phone Number
718-651-2015
Fax Number
person
Provider Business Mailing Address Details
Address
9104 37Th Ave
City
Jackson Heights
State
New York
Zip
11372-7920
Phone Number
718-651-2015
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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