Organization
BIMC FACULTY PRACTICE
Active
Parent organization
BIMC FACULTY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIMC FACULTY PRACTICE
Authorized official
DAVID J SHULKIN MD (VP)
(212) 844-1525
Entity
Organization
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-2000
Mailing address
160 WATER ST, 20TH FL, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02882117
—
NY
Enumeration date
11/16/2006
Last updated
10/22/2007
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