Healthcare Provider Details

I. General information

NPI: 1902247620
Provider Name (Legal Business Name): HOSPITAL FOR JOINT DISEASES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 1ST AVE GREENBERG HALL, SC1-081
NEW YORK NY
10016-6401
US

IV. Provider business mailing address

119 PRINGLE DR
WHITBY ONTARIO
L1N 6K3
CA

V. Phone/Fax

Practice location:
  • Phone: 613-539-7739
  • Fax:
Mailing address:
  • Phone:
  • 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. LAITH JAZRAWI
Title or Position: CHIEF OF DIVISION OF SPORTS MEDICIN
Credential:
Phone: 646-501-7223