Basic Information
| Provider Information | |||||||||
| NPI: | 1568903581 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW YORK PRESBYTERIAN HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 555 EDGECOMBE AVE | ||||||||
| Address2: | APT 9B | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100324406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152984317 | ||||||||
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| Practice Location | |||||||||
| Address1: | 622 W 168TH ST | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NEW YORK | ||||||||
| PostalCode: | 10032 | ||||||||
| CountryCode: | UM | ||||||||
| TelephoneNumber: | 2123052500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2017 | ||||||||
| LastUpdateDate: | 03/09/2017 | ||||||||
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| AuthorizedOfficialLastName: | TAURANO | ||||||||
| AuthorizedOfficialFirstName: | JANEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CENTER COORDINATOR OF CLINICAL EDUC | ||||||||
| AuthorizedOfficialTelephone: | 2123055136 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 9461650 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.