| Organization Name: | ST LUKE'S CORNWALL HOSPITAL |
| NPI Number: | 1124118104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL G BARTON (VICE PRESIDENT OF FINANCE) |
| Mailing Address: | 19 Laurel Ave St Luke's Cornwall Hospital, Finance Dept Cornwall |
| State: | NY US |
| Postal Code: | 125181403 |
| Phone Number: | 8454584023 |
| Fax Number: | 8454584040 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |