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Organization
ST LUKE'S CORNWALL HOSPITAL
Active
Organization
ST LUKE'S CORNWALL HOSPITAL
Active
Parent organization
ST LUKE'S CORNWALL HOSPITAL
Other names
Faculty Group Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S CORNWALL HOSPITAL
Authorized official
MRS. JILL G BARTON (VICE PRESIDENT OF FINANCE)
(845) 458-4023
Entity
Organization
Contact information
Practice address
21 LAUREL AVE STE 240, FACULTY GROUP PRACTICE ST LUKE'S CORNWALL HOSPITAL, CORNWALL, NY 12518-1476
(845) 458-4876
(845) 458-4560
Mailing address
21 LAUREL AVE STE 240, FACULTY GROUP PRACTICE ST LUKE'S CORNWALL HOSPITAL, CORNWALL, NY 12518-1476
(845) 458-4876
(845) 458-4560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03121666
—
NY
Enumeration date
10/17/2008
Last updated
09/28/2011
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