Healthcare Provider Details

I. General information

NPI: 1225255888
Provider Name (Legal Business Name): NRI GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 W 51ST ST # 339
NEW YORK NY
10019-6400
US

IV. Provider business mailing address

337-339 WEST 51TH STREET
NEW YORK NY
10019
US

V. Phone/Fax

Practice location:
  • Phone: 212-957-0076
  • Fax: 212-582-9345
Mailing address:
  • Phone: 212-957-0076
  • Fax: 212-582-9345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. JACQUELINE PEREZ
Title or Position: BILLING
Credential:
Phone: 718-585-9366