Healthcare Provider Details
I. General information
NPI: 1427292135
Provider Name (Legal Business Name): NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2009
Last Update Date: 04/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
550 FIRST AVE. NYU LANGONE MEDICAL CENTER,
NEW YORK NY
10016
US
IV. Provider business mailing address
564 1ST AVE APT 13V
NEW YORK NY
10016-6485
US
V. Phone/Fax
- Phone: 212-263-5506
- Fax: 212-263-7666
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 281P00000X |
| Taxonomy | Chronic Disease Hospital |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YULIN
GE
Title or Position: RESIDENT
Credential: M.D.
Phone: 212-263-3784