Healthcare Provider Details

I. General information

NPI: 1851822951
Provider Name (Legal Business Name): MEMORIAL SLOAN KETTERING CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 03/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 CENTRAL PARK W #5BL
NEW YORK NY
10025-4856
US

IV. Provider business mailing address

415 CENTRAL PARK W #5BL
NEW YORK NY
10025-4856
US

V. Phone/Fax

Practice location:
  • Phone: 917-225-1701
  • Fax:
Mailing address:
  • Phone: 917-225-1701
  • 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: DR. CORI SALVIT
Title or Position: PROGRAM DIRECTOR, TRANSITIONAL YEAR
Credential: M.D.
Phone: 212-639-3210