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General NPI Number Information
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NPI Number | 1215240148
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S ROOSEVELT HOSPITAL
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 319 E 50TH ST APARTMENT 9E
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City | NEW YORK
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State | NY
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Zip | 10022-7936
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Country | US
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Telephone | 973-255-9819
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Fax |
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Provider Business Mailing Address
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Address Line | 319 E 50TH ST APARTMENT 9E
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City | NEW YORK
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State | NY
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Zip | 10022-7936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. BRIAN WOSNITZER
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Credential | M.D.
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Telephone | 973-255-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | NY
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