Basic Information
Provider Information
NPI: 1508117599
EntityType: 2
ReplacementNPI:  
OrganizationName: NEW YORK PRESBYTERIAN HOSPITAL
LastName:  
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Mailing Information
Address1: 525 E 68TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100654870
CountryCode: US
TelephoneNumber: 2127464209
FaxNumber:  
Practice Location
Address1: 525 E 68TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100654870
CountryCode: US
TelephoneNumber: 2127464209
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/01/2012
LastUpdateDate: 12/13/2012
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MCGRATH
AuthorizedOfficialFirstName: BRYNN
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AuthorizedOfficialTitleorPosition: MEDICINE
AuthorizedOfficialTelephone: 5163983202
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: PA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X015953NYY HospitalsGeneral Acute Care Hospital 

No ID Information.


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