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Organization
OBM MEDICAL MANAGEMENT INC
Active
Organization
OBM MEDICAL MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA MIRSKY (CEO)
(718) 614-2384
Entity
Organization
Contact information
Practice address
3485 E TREMONT AVE, BRONX, NY 10465-2016
(718) 828-1549
(718) 828-5029
Mailing address
4864 ARTHUR KILL RD, STATEN ISLAND, NY 10309-2650
(718) 317-2300
(718) 356-4130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
302R00000X
Health Maintenance Organization
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2021
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