Healthcare Provider Details

I. General information

NPI: 1023234911
Provider Name (Legal Business Name): LENOX HILL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

73 HILLCREST RD
MAPLEWOOD NJ
07040-1605
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-2842
  • Fax: 212-434-4149
Mailing address:
  • Phone: 973-275-5157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number350213
License Number StateNY

VIII. Authorized Official

Name: MS. ELISSA ANN DELORENZO
Title or Position: NURSE PRACTITIONER
Credential: NURSE PRACTITIONER
Phone: 212-434-2842