# ST. LUKE'S ROOSEVELT HOSPITAL

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

## Provider details

- **NPI number:** 1902180011
- **Authorized official:** DR. JESSICA PETILLA (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 523-7326

## Contact information

- **Practice address:** 1000 10TH AVE, 3A-02, NEW YORK, NY 10019-1147
- **Practice address phone:** (212) 523-7326
- **Mailing address:** 1000 10TH AVE, 3A-02, NEW YORK, NY 10019-1147
- **Mailing address phone:** (212) 523-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | 421032 | NY | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011