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Organization
SLRHC FACULTY PRACTICE
Active
Organization
SLRHC FACULTY PRACTICE
Active
Other names
St. Luke's Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIGEL JOSEPH (VICE PRESIDENT OPERATIONS)
(212) 315-0144
Entity
Organization
Contact information
Practice address
2771 FREDERICK DOUGLASS BOULEVARD, NEW YORK, NY 10039
(212) 690-0303
(212) 504-2617
Mailing address
1790 BROADWAY, 3RD FLOOR, NEW YORK, NY 10019-1412
(212) 315-0144
(212) 315-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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