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General NPI Number Information
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NPI Number | 1235440561
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Entity Type | Organization
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Legal Business Name | ST LUKES ROOSEVELT HOSPITAL CENTER
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 275 7TH AVE FL 12
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City | NEW YORK
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State | NY
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Zip | 10001-6995
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Country | US
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Telephone | 212-604-1780
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Fax | 212-604-1763
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Provider Business Mailing Address
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Address Line | PO BOX 95000-7570
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City | PHILADELPHIA
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State | PA
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Zip | 19195-7570
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Country | US
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Telephone | 212-604-1780
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Fax | 212-604-1763
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MAISOUN SIOUFI
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Credential |
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Telephone | 212-636-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 030198
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License Number State | NY
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