Healthcare Provider Details

I. General information

NPI: 1245386630
Provider Name (Legal Business Name): LENOX HILL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E 77TH ST NCCU
NEW YORK NY
10021-1850
US

IV. Provider business mailing address

452 E 84TH ST APT. 3A
NEW YORK NY
10028-6215
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-2842
  • Fax:
Mailing address:
  • Phone: 212-774-1952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberF-350048-1
License Number StateNY

VIII. Authorized Official

Name: ANN BRANDON BERNER
Title or Position: NEONATAL NURSE PRACTITIONER
Credential: NNP
Phone: 212-434-2842