25 CHAPEL STREET
Managed Care Organizations at Chapel St, Brooklyn, NY

License number
New York 094063
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: LORIN BLAKE
Title: CLINICAL DIRECTOR
Phone: (718) 398-0153
Address
Address 2
25 Chapel St SUITE 901, Brooklyn, NY 11201
301 W 130Th St APT 3C, New York, NY 10027
National Provider ID: 1548623424
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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25 CHAPEL STREET ASSOCIATES INC

1176 Liberty Ave, Brooklyn, NY 11208

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jan 26, 1993
Inactive since:
Jun 27, 2001
State ID:
1697563
Business type:
DOMESTIC BUSINESS CORPORATION
Rui Mateus, 25 Chapel St 7, Brooklyn, NY 11201 (Physical)

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