Organization
ST. LUKES ROOSEVELT HOSPITAL CENTER
Active
Parent organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Other names
Psychiatric Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Authorized official
KENNETH BARRITT (VICE PRESIDENT)
(646) 605-4217
Entity
Organization
Contact information
Practice address
1111 AMSTERDAM AVENUE, NEW YORK, NY 10025-1716
(212) 256-3027
(212) 256-3595
Mailing address
160 WATER ST FL 24, NEW YORK, NY 10038-4922
(212) 256-3296
(212) 256-3594
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7002032H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000559
BLUE CROSS
NY
05
—
02239247
—
NY
Enumeration date
12/05/2008
Last updated
04/15/2019
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