Organization
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Active
Other names
Gouverneur Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARJI KARLIN (CHIEF REVENUE OFFICER)
(646) 458-3481
Entity
Organization
Contact information
Practice address
227 MADISON ST, MEDICAL STAFF OFFICE R-1249, NEW YORK, NY 10002-7537
(212) 238-7614
(212) 238-7009
Mailing address
50 WATER ST FL 3, NEW YORK, NY 10004-6010
(646) 458-3481
(646) 458-3434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
7002103R
NY
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243352
—
NY
01
—
009748
BLUE CROSS
NY
Enumeration date
06/03/2006
Last updated
04/01/2025
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