Organization
TERENCE CARDINAL COOKE HEALTH CARE CENTER
Active
Parent organization
TERENCE CARDINAL COOKE HEALTH CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TERENCE CARDINAL COOKE HEALTH CARE CENTER
Authorized official
MRS. ANNMARIE COVONE (SR. VP)
(646) 633-4702
Entity
Organization
Contact information
Practice address
1249 5TH AVE, NEW YORK, NY 10029-4413
(212) 360-3764
(212) 427-9488
Mailing address
1249 5TH AVE, NEW YORK, NY 10029-4413
(212) 360-3764
(212) 427-9488
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
7002345N
NY
261QD1600X
Developmental Disabilities Clinic/Center
7002345N
NY
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7002345N
NY
314000000X
Skilled Nursing Facility
7002345N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355202
—
NY
05
—
02522907
—
NY
01
—
05281
BLUE CROSS BLUE SHIELD PR
NY
01
—
A399542
OXFORD
NY
Enumeration date
03/08/2007
Last updated
03/03/2008
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