Organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Active
Other names
Emergency Medicine Associates of SLR
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WIENER MD (GROUP DIRECTOR)
(212) 523-3981
Entity
Organization
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6745
Mailing address
407 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NY
207R00000X
Internal Medicine Physician
—
NY
208000000X
Pediatrics Physician
—
NY
363A00000X
Physician Assistant
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523871
—
NY
Enumeration date
09/29/2006
Last updated
07/22/2008
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