1134131030 NPI number — NEW YORK-PRESBYTERIAN/LAWRENCE HOSPITAL

Table of content: (NPI 1134131030)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134131030 NPI number — NEW YORK-PRESBYTERIAN/LAWRENCE HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK-PRESBYTERIAN/LAWRENCE HOSPITAL
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:
Provider Other Organization Name Type Code:
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:
1134131030
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 PALMER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRONXVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10708-3403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-787-1000
Provider Business Mailing Address Fax Number:
914-472-5795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 PALMER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONXVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10708-3403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-787-1000
Provider Business Practice Location Address Fax Number:
914-472-5795
Provider Enumeration Date:
08/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHOEPP
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
V.P. FINANCE
Authorized Official Telephone Number:
914-787-3358

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00274093 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30727 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: H03069 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: IB0038 . This is a "CARECORE HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 8507 . This is a "NALC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10016233 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 330061 . This is a "LOCAL 1199" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00107 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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