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General NPI Number Information
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NPI Number | 1891900775
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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 | 05/13/2007
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-523-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 122 WELLINGTON AVE
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City | SHORT HILLS
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State | NJ
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Zip | 07078-2560
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Country | US
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Telephone | 718-757-0083
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Fax |
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Authorized Official
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Title or Position | NURSE MIDWIFE
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Name | MS. LUCY EISENSTEIN
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Credential | CNM
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Telephone | 212-523-4461
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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 | F000577-1
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License Number State | NY
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