All Medicaid billing entities listing EDEN, TRACY (MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 2 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | OLD ROSWELL HOLDINGS LLC | BINGHAMTON, NY | Long Term Care Pharmacy | $19K |
| 2 | OLD ROSWELL HOLDINGS LLC | BINGHAMTON, NY | Pharmacy | $2K |