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Organization

NEWYORK-PRESBYTERIAN-QUEENS

Active
Parent organization
NYP COMMUNITY PROGRAMS, INC.
Other names
8th Floor Hospital Dialysis Unit
Organization subpart
Yes

Provider details

NPI number
Legal business name
NYP COMMUNITY PROGRAMS, INC.
Authorized official
MRS. PHYLLIS R.F. LANTOS (EVP, CFO AND TREASURER)
(212) 746-7905
Entity
Organization

Contact information

Practice address
5645 MAIN ST, EIGHTH FLOOR DIALYSIS UNIT, FLUSHING, NY 11355-5045
(718) 670-1231
(718) 661-7942
Mailing address
5645 MAIN ST, 8TH FLOOR HOSPITAL DIALYSIS UNIT, FLUSHING, NY 11355-5045
(718) 670-1231
(718) 661-7942

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003010H PFI 1637
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244133
NY
05
02998983
NY
01
332311
MEDICARE PTAN
NY
Enumeration date
06/22/2006
Last updated
10/03/2022
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