Organization
URBAN RESOURCE INSTITUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNY PRIMM M.D. (CHIEF EXECUTIVE)
(718) 260-2900
Entity
Organization
Contact information
Practice address
539 W 152ND ST, NEW YORK, NY 10031-1601
(212) 491-0023
Mailing address
PO BOX 450, NEW YORK, NY 10031-0450
(212) 491-0023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M592240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5404360
LMSW
NY
Enumeration date
05/18/2007
Last updated
08/22/2020
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