Basic Information
| Provider Information | |||||||||
| NPI: | 1205954252 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LINCOLN HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 234 EAST 149TH STREET, BRONX, NEW YORK | ||||||||
| Address2: | ROOM 420 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795360 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 EAST 149TH ST, BRONX | ||||||||
| Address2: | ROOM 420 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795360 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2007 | ||||||||
| LastUpdateDate: | 08/02/2007 | ||||||||
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| AuthorizedOfficialLastName: | LEGGIADRO | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHEIF OF PEDIATRICS | ||||||||
| AuthorizedOfficialTelephone: | 7185795360 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | 002801 | NY | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.