Healthcare Provider Details

I. General information

NPI: 1285642512
Provider Name (Legal Business Name): NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 BRIELLE AVE
STATEN ISLAND NY
10314-6427
US

IV. Provider business mailing address

50 WATER ST FL 3
NEW YORK NY
10004-6010
US

V. Phone/Fax

Practice location:
  • Phone: 718-317-3261
  • Fax: 718-317-7898
Mailing address:
  • Phone: 646-458-3481
  • Fax: 646-458-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MARJI KARLIN
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 646-458-3481