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Organization

NEW YORK INSTITUTE OF TECHNOLOGY

Active
Parent organization
NEW YORK INSTITUTE OF TECHNOLOGY
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW YORK INSTITUTE OF TECHNOLOGY
Authorized official
SHARON K ZIMMERMAN MPA (ASSISTANT DEAN)
(516) 320-1466
Entity
Organization

Contact information

Practice address
333B RED WOLF BLVD, JONESBORO, AR 72405-9739
(870) 972-2054
(870) 972-2131
Mailing address
PO BOX 119, STATE UNIVERSITY, AR 72467-0119
(516) 320-1466

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/06/2020
Last updated
01/08/2021
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