1447316161 NPI number — URI MEDICAL SERVICE P.C.

Table of content: SARAH EMILY LENHART LPC (NPI 1376802603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447316161 NPI number — URI MEDICAL SERVICE P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
URI MEDICAL SERVICE P.C.
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:
1447316161
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3505 FARRINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11354-2826
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-886-6677
Provider Business Mailing Address Fax Number:
718-886-1413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3505 FARRINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11354-2826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-886-6677
Provider Business Practice Location Address Fax Number:
718-886-1413
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KIM
Authorized Official First Name:
HO YON
Authorized Official Middle Name:
Authorized Official Title or Position:
PREISDENT
Authorized Official Telephone Number:
718-886-6677

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  184700 , 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)





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