Organization Name: | ST. LUKE'S CORNWALL HOSPITAL |
NPI Number: | 1013184639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN E ATZROTT (PRESIDENT & CEO) |
Mailing Address: | 70 Dubois St Newburgh |
State: | NY US |
Postal Code: | 125504851 |
Phone Number: | 8455614400 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 3522000H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |