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Organization

SLRHC FACULTY PRACTICE

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-7200
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-7200

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary

Other

Enumeration date
03/27/2013
Last updated
03/27/2013
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