Basic Information
Provider Information
NPI: 1447664255
EntityType: 2
ReplacementNPI:  
OrganizationName: NEW YORK METHODIST HOSPITAL
LastName:  
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Mailing Information
Address1: 506 6TH ST
Address2: PHARMACY: CARRINGTON 2ND FLOOR
City: BROOKLYN
State: NY
PostalCode: 112153609
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber: 7187807311
Practice Location
Address1: 506 6TH ST
Address2: PHARMACY: CARRINGTON 2ND FLOOR
City: BROOKLYN
State: NY
PostalCode: 112153609
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber: 7187807311
Other Information
ProviderEnumerationDate: 06/19/2014
LastUpdateDate: 06/19/2014
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MCMANUS
AuthorizedOfficialFirstName: COLLEEN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VICE PRESIDENT OF FINANCE
AuthorizedOfficialTelephone: 7187803000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.S.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X002269NYY HospitalsGeneral Acute Care Hospital 

No ID Information.


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