Healthcare Provider Details
I. General information
NPI: 1003824608
Provider Name (Legal Business Name): NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1225 GERARD AVE
BRONX NY
10452-8001
US
IV. Provider business mailing address
50 WATER ST FL 3
NEW YORK NY
10004-6010
US
V. Phone/Fax
- Phone: 718-960-2772
- Fax: 718-960-2628
- Phone: 646-458-3481
- Fax: 646-458-3434
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336I0012X |
| Taxonomy | Institutional Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARJI
J
KARLIN
Title or Position: ASSISTANT VICE PRESIDENT
Credential:
Phone: 646-458-3481