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Organization
ST. LUKE'S ROOSEVELT HOSPITAL
Active
Organization
ST. LUKE'S ROOSEVELT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA PETILLA (MEDICAL DIRECTOR)
(212) 523-7326
Entity
Organization
Contact information
Practice address
1000 10TH AVE, 3A-02, NEW YORK, NY 10019-1147
(212) 523-7326
Mailing address
1000 10TH AVE, 3A-02, NEW YORK, NY 10019-1147
(212) 523-7326
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
421032
NY
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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