Organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Active
Parent organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Other names
Rehabilitation Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Authorized official
MR. KENNETH BARRITT (SENIOR VICE PRESIDENT)
(646) 605-4217
Entity
Organization
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 256-3027
(212) 256-3595
Mailing address
160 WATER ST, SUITE 2329, NEW YORK, NY 10038-4922
(212) 256-3027
(212) 256-3595
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
7002032H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000559
BLUE CROSS
NY
05
—
01650173
—
NY
Enumeration date
12/05/2008
Last updated
04/15/2019
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