Healthcare Provider Details

I. General information

NPI: 1649325119
Provider Name (Legal Business Name): ROCKEFELLER UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 YORK AVE HOSPITAL 322
NEW YORK NY
10021-6307
US

IV. Provider business mailing address

1230 YORK AVE HOSPITAL 322
NEW YORK NY
10021-6307
US

V. Phone/Fax

Practice location:
  • Phone: 212-327-7441
  • Fax:
Mailing address:
  • Phone: 212-327-7441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: BARBARA O'SULLIVAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD, MPH
Phone: 212-327-7441