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Organization
ST LUKES-ROOSEVELT HOSPITAL CENTER
Active
Organization
ST LUKES-ROOSEVELT HOSPITAL CENTER
Active
Other names
The Institute for Advanced Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(212) 731-6802
Entity
Organization
Contact information
Practice address
1111 AMSTERDAM AVENUE, NEW YORK, NY 10025
(212) 523-4000
Mailing address
500 7TH AVE, 8TH FLOOR, NEW YORK, NY 10018-4502
(212) 731-6870
(212) 731-6788
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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