MIMI SO

Case Manager/Care Coordinator

Active Individual
NPI: 1336402155

Practice Address

465 GRAND ST
2ND FLOOR
New York, NY 10002

Phone: (212) 420-1999

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1336402155 is the National Provider Identifier for MIMI SO, a Case Manager/Care Coordinator provider located in New York, NY. This NPI was enumerated on June 18, 2012.
MIMI SO practices at 465 GRAND ST, 2ND FLOOR, New York, NY 10002.

Quick Facts

NPI
1336402155
Type
Individual
Enumerated
Jun 18, 2012
Last Updated
Jun 18, 2012

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