1427251370 NPI number — WOODHULL HOSPITAL

Table of content: SAMANTHA LYNN HERDEGEN PHARMD (NPI 1356997704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427251370 NPI number — WOODHULL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOODHULL 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:
1427251370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 LEAH LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLAINVIEW
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11803-6217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-390-4469
Provider Business Mailing Address Fax Number:
718-630-3138

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WOODHULL MEDICAL AND MENTAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
760 BROADWAY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-963-8148
Provider Business Practice Location Address Fax Number:
718-630-3138
Provider Enumeration Date:
06/07/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
ABRAHAM
Authorized Official Middle Name:
P
Authorized Official Title or Position:
ASSOCIATE DIRECTOR
Authorized Official Telephone Number:
718-963-8148

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  R045925-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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