Organization
NEW YORK PREMIER IPA
Active
Parent organization
NEW YORK NETWORK MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK NETWORK MANAGEMENT
Authorized official
ELIZABETH KELLY (CEO)
(718) 748-2109
Entity
Organization
Contact information
Practice address
9201 4TH AVE, BROOKLYN, NY 11209-7065
(718) 748-2109
(718) 748-5696
Mailing address
9201 4TH AVE, BROOKLYN, NY 11209-7065
(718) 748-2109
(718) 748-5696
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NY
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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