Organization
BIMC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (VP)
21225633424
Entity
Organization
Contact information
Practice address
10 UNION SQ E, SUITE 3A, NEW YORK, NY 10003-3314
(212) 844-8900
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
02/02/2012
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