1629036751 NPI number — NEW YORK DOWNTOWN HOSPITAL FPP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629036751 NPI number — NEW YORK DOWNTOWN HOSPITAL FPP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK DOWNTOWN HOSPITAL FPP
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:
6
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:
1629036751
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10309
Provider Second Line Business Mailing Address:
NYDH EMERGENCY SERVICES
Provider Business Mailing Address City Name:
UNIONDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11555-0309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
190-480-5115
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
170 WILLIAM ST
Provider Second Line Business Practice Location Address:
NEW YORK DOWNTOWN HOSPITAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10038-2612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-312-5068
Provider Business Practice Location Address Fax Number:
212-312-5985
Provider Enumeration Date:
05/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DAJER
Authorized Official First Name:
ANTONIO
Authorized Official Middle Name:
Authorized Official Title or Position:
CHAIR ED
Authorized Official Telephone Number:
212-312-5068

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , 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)





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