Organization
PIER17 PROFESSIONAL MEDICAL MGMT
Active
Organization
PIER17 PROFESSIONAL MEDICAL MGMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA SABLE (PRESIDENT)
(718) 333-1394
Entity
Organization
Contact information
Practice address
3165 EMMONS AVE STE C2-C3, BROOKLYN, NY 11235-1785
(718) 333-1394
(718) 333-1398
Mailing address
3165 EMMONS AVE STE C2-C3, BROOKLYN, NY 11235-1785
(718) 333-1394
(718) 333-1398
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NY
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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