Healthcare Provider Details

I. General information

NPI: 1598703019
Provider Name (Legal Business Name): NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E 70TH ST
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1398
  • Fax: 212-774-7809
Mailing address:
  • Phone: 212-606-1398
  • Fax: 212-774-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number7002012H
License Number StateNY

VIII. Authorized Official

Name: MR. LOUIS A SHAPIRO
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 212-606-1625