Provider Demographics
NPI:1104362508
Name:NETWORK ADMIN LLC
Entity Type:Organization
Organization Name:NETWORK ADMIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-272-5784
Mailing Address - Street 1:PO BOX 190416
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-0416
Mailing Address - Country:US
Mailing Address - Phone:800-272-5784
Mailing Address - Fax:
Practice Address - Street 1:1421 63RD ST
Practice Address - Street 2:1421A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5429
Practice Address - Country:US
Practice Address - Phone:800-272-5784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NETWORK SOLUTIONS IPA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty