Organization Name: | NEW YORK-PRESBYTERIAN-QUEENS |
NPI Number: | 1023053527 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHYLLIS R.F. LANTOS (EVP, CFO AND TREASURER) |
Mailing Address: | 5928 174th St Fresh Meadows Fresh Meadows |
State: | NY US |
Postal Code: | 113651539 |
Phone Number: | 7186701276 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 7003010H PFI 2670 |
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: |