Organization
PROJECT RENEWAL
Active
Organization
PROJECT RENEWAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL NETBURN (CEO)
(212) 620-0340
Entity
Organization
Contact information
Practice address
8 E 3RD ST, NEW YORK, NY 10003-8908
(212) 533-8400
Mailing address
8 E 3RD ST, NEW YORK, NY 10003-8908
(212) 533-8400
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
160611600
NY
Other
Enumeration date
08/16/2013
Last updated
02/17/2022
Update your record
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