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Organization
ST LUKES - ROOSEVELT HOSPITAL CENTER
Active
Organization
ST LUKES - ROOSEVELT HOSPITAL CENTER
Active
Other names
Roosevelt Hospital Doctors Offices
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GRAY M.D. (MEDICAL DIRECTOR)
(212) 308-1112
Entity
Organization
Contact information
Practice address
780 8TH AVE, SUITE 303, NEW YORK, NY 10036-7017
(212) 641-4500
(212) 641-4510
Mailing address
PO BOX 95000-2409, PHILADELPHIA, PA 19195-2409
(212) 308-1112
(212) 308-1616
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
01/02/2007
Last updated
10/30/2014
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