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General NPI Number Information
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NPI Number | 1699737882
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-2000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN GUNN
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Credential |
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Telephone | 212-639-6017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 7002020H
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License Number State | NY
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