Provider Demographics
NPI:1760921944
Name:NOOM INC
Entity Type:Organization
Organization Name:NOOM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COACH DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:H
Authorized Official - Last Name:PIENKOSZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:347-687-8522
Mailing Address - Street 1:229 W 28TH ST
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:229 W 28TH ST
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5915
Practice Address - Country:US
Practice Address - Phone:347-687-8522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty