Healthcare Provider Details

I. General information

NPI: 1639436579
Provider Name (Legal Business Name): NEW YORK PRESBYTERIAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 04/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST ROOM M314
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

38 KINGS LN
MANHASSET HILLS NY
11040-1210
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2941
  • Fax: 646-962-1920
Mailing address:
  • Phone: 646-387-2457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD S. LIEBOWITZ
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D., MHSC
Phone: 212-746-4055