Healthcare Provider Details

I. General information

NPI: 1336285923
Provider Name (Legal Business Name): MEMORIAL SLOAN-KETTERING CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10021-6007
US

IV. Provider business mailing address

404 EAST 66TH STREET
NEW YORK NY
10021-9312
US

V. Phone/Fax

Practice location:
  • Phone: 646-422-4470
  • Fax: 212-988-0701
Mailing address:
  • Phone: 212-472-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number186296
License Number StateNY

VIII. Authorized Official

Name: DR. SUSAN FAITH SLOVIN
Title or Position: ASSOCIATE PROFESSOR OF MEDICINE
Credential: M.D., PH.D.
Phone: 646-422-4470