# NEW YORK PREBYSTERIAN MEDICAL CENTER

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

## Provider details

- **NPI number:** 1346566262
- **Authorized official:** MRS. DEYANIRA PENA-MARTINEZ LMSW (SOCIAL WORKER)
- **Authorized official phone:** (212) 942-0414

## Contact information

- **Practice address:** 45 FAIRVIEW AVE APT 7H, NEW YORK, NY 10040-2755
- **Practice address phone:** (212) 932-5355
- **Practice address fax:** (212) 932-5161
- **Mailing address:** 45 FAIRVIEW AVE APT 7H, NEW YORK, NY 10040-2755
- **Mailing address phone:** (212) 932-5355
- **Mailing address fax:** (212) 932-5161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | 066512-1 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2010
- **Last updated:** 04/16/2010