# SAINT LUKES ROOSEVELT HOSPITAL LAB

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

## Provider details

- **NPI number:** 1497780019
- **Authorized official:** BRUCE WENIG MD (CHAIRMAN)
- **Authorized official phone:** (212) 420-2124

## Contact information

- **Practice address:** 1000 10TH AVE, NEW YORK, NY 10019-1147
- **Practice address phone:** (212) 523-4332
- **Practice address fax:** (212) 523-4829
- **Mailing address:** 1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
- **Mailing address phone:** (516) 542-1090
- **Mailing address fax:** (516) 794-8165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291900000X | Military Clinical Medical Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 08/22/2020