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Organization

SLRHC FACULTY PRACTICE

Active
Other names
SLR CRANIAL BASE SURGERY
Organization subpart
No

Provider details

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

Contact information

Practice address
1000 10TH AVE, SUITE 4H, NEW YORK, NY 10019-1147
(212) 523-6396
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6396

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
208600000X
Surgery Physician

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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