Healthcare Provider Details
I. General information
NPI: 1578853925
Provider Name (Legal Business Name): BELLEVUE HOSPITAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2011
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
462 FIRST AVENUE BELLEVUE HOSPITAL CENTER-DEPARTMENT OF SOCIAL WORK
NEW YORK NY
10016
US
IV. Provider business mailing address
200 E 87TH ST APARTMENT 10D
NEW YORK NY
10128-3112
US
V. Phone/Fax
- Phone: 212-562-2644
- Fax:
- Phone: 917-860-7023
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 050107-1 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC2000X |
| Taxonomy | Children's Hospital |
| License Number | 050107-1 |
| License Number State | NY |
VIII. Authorized Official
Name: MS.
ANDREA
CARRIE
STEINFELD
Title or Position: SENIOR SOCIAL WORKER
Credential:
Phone: 212-562-2644