Basic Information
| Provider Information | |||||||||
| NPI: | 1669766770 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COLUMBIA PRESBYTERIAN HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 710 W 173RD ST | ||||||||
| Address2: | APT #43 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100321103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815071288 | ||||||||
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| Practice Location | |||||||||
| Address1: | 610 W 158TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100327104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125441881 | ||||||||
| FaxNumber: | 2125441870 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2011 | ||||||||
| LastUpdateDate: | 06/06/2011 | ||||||||
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| AuthorizedOfficialLastName: | LYNCH | ||||||||
| AuthorizedOfficialFirstName: | ALLISON | ||||||||
| AuthorizedOfficialMiddleName: | MARIE | ||||||||
| AuthorizedOfficialTitleorPosition: | RESIDENT/ INTERN | ||||||||
| AuthorizedOfficialTelephone: | 7815071288 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.