# NYU LUTHERAN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NYU Lutheran Family Health Center QualityCare Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245635200
- **Authorized official:** MR. GARY DELLACERRA (VP OF MANAGED CARE)
- **Authorized official phone:** (718) 630-7103

## Contact information

- **Practice address:** 150 55TH ST, BROOKLYN, NY 11220-2508
- **Practice address phone:** (718) 630-7000
- **Practice address fax:** (718) 630-7437
- **Mailing address:** 5800 3RD AVE, MANAGED CARE DEPT., BROOKLYN, NY 11220-3702
- **Mailing address phone:** (718) 630-7103
- **Mailing address fax:** (718) 630-7437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 7001019H | NY | Yes |

## Other

- **Enumeration date:** 11/03/2014
- **Last updated:** 07/28/2015