# BIMC FACULTY PRACTICE

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

## Provider details

- **NPI number:** 1730324252
- **Authorized official:** DEBORAH HACKETT (VP)
- **Authorized official phone:** (212) 256-3424

## Contact information

- **Practice address:** 317 E 17TH ST, 11TH FLOOR FIERMAN HALL, NEW YORK, NY 10003-3804
- **Practice address phone:** (212) 420-2584
- **Mailing address:** 317 E 17TH ST, 11TH FLOOR FIERMAN HALL, NEW YORK, NY 10003-3804
- **Mailing address phone:** (212) 420-2584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2008
- **Last updated:** 02/23/2012