Organization
SURGICAL SERVICES OF BIMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (AVP)
(212) 256-3424
Entity
Organization
Contact information
Practice address
10 NATHAN D PERLMAN PL, 16TH ST AT 1ST AVE, NEW YORK, NY 10003-3851
(212) 844-6212
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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