| Organization Name: | ST LUKE'S CORNWALL HOSPITAL |
| NPI Number: | 1033361340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL G BARTON (VICE PRESIDENT OF FINANCE) |
| Mailing Address: | 21 Laurel Ave Ste 240 Faculty Group Practice St Luke's Cornwall Hospital Cornwall |
| State: | NY US |
| Postal Code: | 125181476 |
| Phone Number: | 8454584876 |
| Fax Number: | 8454584560 |
| NPI Enumeration Date: | 10/17/2008 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |