Organization
ONN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENIN FERMIN (PRESIDENT)
(212) 927-1717
Entity
Organization
Contact information
Practice address
4334 BROADWAY, NEW YORK, NY 10033-2412
(212) 927-1717
(212) 927-5080
Mailing address
4334 BROADWAY, NEW YORK, NY 10033-2412
(212) 927-1717
(212) 927-5080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
130208
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00756625
—
NY
Enumeration date
04/05/2011
Last updated
04/05/2011
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