Organization
SLRHC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT MD (DEPARTMENT CHAIR)
(212) 256-3424
Entity
Organization
Contact information
Practice address
1000 10TH AVE, SUITE 5G-80, NEW YORK, NY 10019-1147
(212) 523-6581
Mailing address
1000 10TH AVE, SUITE 5G-80, NEW YORK, NY 10019-1147
(212) 523-6581
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/03/2012
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