# NEW YORK INSTITUTE OF TECHNOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW YORK INSTITUTE OF TECHNOLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760003248
- **Legal business name:** NEW YORK INSTITUTE OF TECHNOLOGY
- **Authorized official:** SHARON K ZIMMERMAN MPA (ASSISTANT DEAN)
- **Authorized official phone:** (516) 320-1466

## Contact information

- **Practice address:** 333B RED WOLF BLVD, JONESBORO, AR 72405-9739
- **Practice address phone:** (870) 972-2054
- **Practice address fax:** (870) 972-2131
- **Mailing address:** PO BOX 119, STATE UNIVERSITY, AR 72467-0119
- **Mailing address phone:** (516) 320-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 01/08/2021