Organization
ST. LUKES - ROOSEVELT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED DIAZ (PATHOLOGY PROGRAM COORDINATOR)
(212) 523-4330
Entity
Organization
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4330
Mailing address
5 BEAUMONT CIR APT 2, YONKERS, NY 10710-1560
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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