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General NPI Number Information
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NPI Number | 1881926426
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Entity Type | Organization
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Legal Business Name | ST.LUKES-ROOSEVELT HOSPITAL
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 1000 10TH AVE # 2T
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 212-636-3600
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Fax | 212-636-3601
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Provider Business Mailing Address
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Address Line | 1000 10TH AVE # 2T
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 212-636-3600
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Fax | 212-636-3601
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Authorized Official
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Title or Position | DIRECTOR
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Name | MAISOUN SIOUFI
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Credential | RPH
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Telephone | 212-636-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 039738
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License Number State | NY
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