Healthcare Provider Details

I. General information

NPI: 1700805751
Provider Name (Legal Business Name): NEW YORK PRESBYTERIAN HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST GREENBERG PAVILION RM 10-171
NEW YORK NY
10021-4870
US

IV. Provider business mailing address

PO BOX 27842
NEW YORK NY
10087-7842
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-0838
  • Fax: 516-437-4167
Mailing address:
  • Phone: 718-670-1651
  • Fax: 516-437-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number005425-1
License Number StateNY

VIII. Authorized Official

Name: DORA HARTOFILIS
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 718-661-8711