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Organization

NEW YORK NETWORK MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH KELLY (CEO)
(718) 748-7316
Entity
Organization

Contact information

Practice address
9201 4TH AVE, 4TH FLOOR, BROOKLYN, NY 11209-7065
(718) 748-7316
(718) 748-5696
Mailing address
9201 4TH AVE, 4TH FLOOR, BROOKLYN, NY 11209-7065
(718) 748-7316
(718) 748-5696

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
03/12/2007
Last updated
01/18/2012
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