Basic Information
Provider Information
NPI: 1497913529
EntityType: 2
ReplacementNPI:  
OrganizationName: HOSPITAL FOR SPECIAL SURGERY
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 535 E 70TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100214872
CountryCode: US
TelephoneNumber: 2126061000
FaxNumber:  
Practice Location
Address1: 535 E 70TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100214872
CountryCode: US
TelephoneNumber: 2126061000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/27/2008
LastUpdateDate: 05/27/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: STEFANSKI
AuthorizedOfficialFirstName: CHRISTINE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: NURSE PRACTITIONER
AuthorizedOfficialTelephone: 2126061000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: N.P.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000XF333645-1NYY HospitalsGeneral Acute Care Hospital 

No ID Information.


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