# SLRHC FACULTY PRACTICE

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

## Provider details

- **NPI number:** 1487996583
- **Authorized official:** DEBORAH HACKETT (VP)
- **Authorized official phone:** (212) 256-3424

## Contact information

- **Practice address:** 1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
- **Practice address phone:** (212) 523-7200
- **Mailing address:** 1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
- **Mailing address phone:** (212) 523-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013