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Organization

BIMC FACULTY PRACTICE

Active
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Organization

BIMC FACULTY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH HACKETT (VP)
(212) 256-3424
Entity
Organization

Contact information

Practice address
126 W 60TH ST, NEW YORK, NY 10023-7402
(212) 636-3970
Mailing address
126 W 60TH ST, NEW YORK, NY 10023-7402
(212) 636-3970

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
2086S0120X
Pediatric Surgery Physician

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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