Provider Demographics
NPI:1770792160
Name:ALWAYS YOUR CHOICE
Entity type:Organization
Organization Name:ALWAYS YOUR CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPA
Authorized Official - Phone:212-677-1777
Mailing Address - Street 1:80 E 11TH ST
Mailing Address - Street 2:STE 211
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6811
Mailing Address - Country:US
Mailing Address - Phone:212-677-1777
Mailing Address - Fax:212-420-8415
Practice Address - Street 1:80 E 11TH ST
Practice Address - Street 2:STE 211
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6811
Practice Address - Country:US
Practice Address - Phone:212-677-1777
Practice Address - Fax:212-420-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165969305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service