Healthcare Provider Details

I. General information

NPI: 1295071884
Provider Name (Legal Business Name): METROPOLITAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2012
Last Update Date: 12/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE
NEW YORK NY
10029-7404
US

IV. Provider business mailing address

1901 1ST AVE
NEW YORK NY
10029-7404
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6104
  • Fax: 212-423-7041
Mailing address:
  • Phone: 212-423-6104
  • Fax: 212-423-7041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateNY

VIII. Authorized Official

Name: MS. SYLENA SAHAD
Title or Position: SOCIAL WORKER
Credential: LMSW
Phone: 212-423-6262