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Organization
NORTH EASTERN NETWORK IPA
Active
Organization
NORTH EASTERN NETWORK IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ROBERT PAUL MD (PRESIDENT / CEO)
(914) 953-0434
Entity
Organization
Contact information
Practice address
86 EAST 49TH STREET, BROOKLYN, NY 11203
(718) 807-4195
(718) 363-6879
Mailing address
86 EAST 49TH STREET, BROOKLYN, NY 11203
(718) 807-4195
(718) 363-6879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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