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Organization

BIMC FACULTY PRACTICE

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
10 UNION SQ E, SUITE 2H, NEW YORK, NY 10003-3314
(212) 844-8300
Mailing address
160 WATER ST, 20TH FL, NEW YORK, NY 10038-4922
(212) 844-8300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080A0000X
Pediatric Adolescent Medicine Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
2080P0203X
Pediatric Critical Care Medicine Physician

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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