# NYU LUTHERAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053779454
- **Authorized official:** ANNA D'EMILIO (VICE PRESIDENT AEGD PROGRAM)
- **Authorized official phone:** (718) 630-7184

## Contact information

- **Practice address:** 2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
- **Practice address phone:** (970) 255-1782
- **Mailing address:** 1030 TELLER AVE APT 56, GRAND JUNCTION, CO 81501-3254
- **Mailing address phone:** (304) 419-5231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | ZZ | Yes |

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 09/07/2023