Healthcare Provider Details

I. General information

NPI: 1861652182
Provider Name (Legal Business Name): NEW YORK PRESBYTERIAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W 71ST ST APT 5
NEW YORK NY
10023-3530
US

IV. Provider business mailing address

340 W 71ST ST APT 5
NEW YORK NY
10023-3530
US

V. Phone/Fax

Practice location:
  • Phone: 714-376-4726
  • Fax:
Mailing address:
  • Phone: 714-376-4726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA MEHTA
Title or Position: RESIDENT PHYSICIAN
Credential: M.D.
Phone: 714-376-4726