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Organization
NEW YORK INSTITUTE OF TECHNOLOGY
Active
Organization
NEW YORK INSTITUTE OF TECHNOLOGY
Active
Parent organization
NEW YORK INSTITUTE OF TECHNOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK INSTITUTE OF TECHNOLOGY
Authorized official
SHARON K ZIMMERMAN MPA (ASSISTANT DEAN)
(516) 320-1466
Entity
Organization
Contact information
Practice address
333B RED WOLF BLVD, JONESBORO, AR 72405-9739
(870) 972-2054
(870) 972-2131
Mailing address
PO BOX 119, STATE UNIVERSITY, AR 72467-0119
(516) 320-1466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
01/08/2021
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