Organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BARRITT (SR VICE PRESIDENT)
(646) 605-4217
Entity
Organization
Contact information
Practice address
1000 10TH AVE, ROOSEVELT DIVISION, NEW YORK, NY 10019
(212) 523-4000
(212) 256-3594
Mailing address
160 WATER ST, 24TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3030
(212) 256-3594
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
273R00000X
Psychiatric Hospital Unit
7002032H
NY
273Y00000X
Rehabilitation Hospital Unit
7002032H
NY
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
7002032H
NY
282N00000X
General Acute Care Hospital
Primary
7002032H
NY
341600000X
Ambulance
7002032H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000559
BLUE CROSS
NY
05
—
00239247
—
NY
05
—
00354967
—
NY
05
—
01650173
—
NY
Enumeration date
12/28/2006
Last updated
04/15/2019
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