Healthcare Provider Details

I. General information

NPI: 1225257587
Provider Name (Legal Business Name): THE NEW YORK HOTEL TRADES COUNCIL AND THE HOTEL ASSOC. OF NYC, HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MORNINGSIDE AVE PHARMACY DEPARTMENT
NEW YORK NY
10027
US

IV. Provider business mailing address

133 MORNINGSIDE AVE PHARMACY DEPARTMENT
NEW YORK NY
10027
US

V. Phone/Fax

Practice location:
  • Phone: 212-923-2525
  • Fax: 212-222-4893
Mailing address:
  • Phone: 212-923-2525
  • Fax: 212-222-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number026290
License Number StateNY

VIII. Authorized Official

Name: DR. ROBERT GREENSPAN
Title or Position: CHIEF MEDICAL OFFICER
Credential: DMD
Phone: 212-586-6400