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Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Active
Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Phelps Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
(914) 366-1522
Mailing address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
(914) 366-1522
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274162
—
NY
Enumeration date
09/19/2006
Last updated
07/31/2025
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