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Organization
LICH FACULTY PRACTICE
Active
Organization
LICH FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (VICE PRESIDENT)
(212) 256-3424
Entity
Organization
Contact information
Practice address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(800) 808-5522
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(800) 808-5522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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