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Organization
WALTER MIZELL INCORPORATE
Active
Organization
WALTER MIZELL INCORPORATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MIZELL (PRESIDENT)
(646) 245-3279
Entity
Organization
Contact information
Practice address
350 5TH AVE, 59TH FLOOR, NEW YORK, NY 10118-0110
(646) 245-3279
Mailing address
350 5TH AVE, 59TH FLOOR, NEW YORK, NY 10118-0110
(646) 245-3279
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NULL
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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