Organization
SLRHC FACULTY PRACTICE
Active
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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