1114048543 NPI number — NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Table of content: (NPI 1285065417)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114048543 NPI number — NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LINCOLN MEDICAL CENTER COBRA CASE MANAGEMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114048543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 WATER ST
Provider Second Line Business Mailing Address:
ROOM 736
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10038-4922
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-458-3402
Provider Business Mailing Address Fax Number:
646-458-3434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
234 E 149TH ST
Provider Second Line Business Practice Location Address:
ROOM 2A1
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451-5504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-579-5432
Provider Business Practice Location Address Fax Number:
718-579-4682
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KATZ
Authorized Official First Name:
MAXINE
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
ASSISTANT VICE PRESIDENT
Authorized Official Telephone Number:
646-458-3402

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02735239 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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