Provider Demographics
NPI:1174837348
Name:BINYOMIN NEMON, D.O., PLLC
Entity Type:Organization
Organization Name:BINYOMIN NEMON, D.O., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BINYOMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-791-9277
Mailing Address - Street 1:580 CROWN ST APT 611
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5358
Mailing Address - Country:US
Mailing Address - Phone:845-791-9277
Mailing Address - Fax:845-468-5860
Practice Address - Street 1:580 CROWN ST APT 611
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5358
Practice Address - Country:US
Practice Address - Phone:845-791-9277
Practice Address - Fax:845-468-5860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211250207Q00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty