1588025654 NPI number — BRM HOLDINGS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588025654 NPI number — BRM HOLDINGS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRM HOLDINGS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588025654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 LEXINGTON AVE RM 350
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10170-0303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-584-4174
Provider Business Mailing Address Fax Number:
212-656-1933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
930 5TH AVE APT 8H
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021-2680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-879-6381
Provider Business Practice Location Address Fax Number:
212-717-8990
Provider Enumeration Date:
03/16/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
LISA
Authorized Official Title or Position:
MANAGING DIRECTOR
Authorized Official Telephone Number:
212-584-4184

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  211661 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)