Organization
BIMC FACULTY PRACTICE
Active
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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