Healthcare Provider Details

I. General information

NPI: 1205882040
Provider Name (Legal Business Name): CABRINI MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 E 19TH ST
NEW YORK NY
10003-2602
US

IV. Provider business mailing address

158 W 27TH ST 11TH FLOOR
NEW YORK NY
10001-6216
US

V. Phone/Fax

Practice location:
  • Phone: 212-563-2497
  • Fax: 212-563-0605
Mailing address:
  • Phone: 212-563-2497
  • Fax: 212-563-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SONIA RESTREPO
Title or Position: CREDENTIALER
Credential:
Phone: 212-563-2497