Provider Demographics
NPI:1295079820
Name:RECOMBINE
Entity type:Organization
Organization Name:RECOMBINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BISIGNANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-687-4363
Mailing Address - Street 1:1140 BROADWAY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7504
Mailing Address - Country:US
Mailing Address - Phone:855-687-4363
Mailing Address - Fax:
Practice Address - Street 1:3 REGENT ST
Practice Address - Street 2:SUITE 301
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1668
Practice Address - Country:US
Practice Address - Phone:855-687-4363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory