=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427175991
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LENOX HILL HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2007
-----------------------------------------------------
Last Update Date | 06/26/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 E 77TH ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-1850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-434-2000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3 CONSULATE DR APT 3C
-----------------------------------------------------
City | TUCKAHOE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10707-2420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN ASSISTANT
-----------------------------------------------------
Name | MS. TINA RAMCHANDANI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 914-337-5789
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 011020
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------