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COLLYMORE STEFON

Debarred entity
TypeLegal entity[sources]
NameCOLLYMORE STEFON[sources]
Legal formnot available[sources]
CountryUnited States[sources]
ID Number00028483[sources]
NPI1114698651[sources]
SectorMassage Therapist[sources]
Statusnot available[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US New York State Medicaid Exclusions8,796

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG


Source data IDs: us-medny-919dda69795e311cfbc42d75215931aed5768c9b · us-npi-1114698651

For experts: raw data explorer