# SLRHC FACULTY PRACTICE

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

## Provider details

- **NPI number:** 1083734677
- **Authorized official:** MICHAEL BRUNO (AVP -FINANCE)
- **Authorized official phone:** (212) 523-7140

## Contact information

- **Practice address:** 160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
- **Practice address phone:** (212) 256-3539
- **Mailing address:** 1000 10TH AVE, NEW YORK, NY 10019-1147
- **Mailing address phone:** (212) 523-7140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 09/11/2025
