Organization
NYU LUTHERAN MEDICAL CENTER
Active
Other names
NYU Lutheran Family Health Center QualityCare Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DELLACERRA (VP OF MANAGED CARE)
(718) 630-7103
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
(718) 630-7437
Mailing address
5800 3RD AVE, MANAGED CARE DEPT., BROOKLYN, NY 11220-3702
(718) 630-7103
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
7001019H
NY
Other
Enumeration date
11/03/2014
Last updated
07/28/2015
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