Organization
ST LUKE ROOSEVELT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERLY ALTIDOR PA (PHYSICIAN ASSISTANT)
(212) 523-5567
Entity
Organization
Contact information
Practice address
630 OCEAN AVE #6B, BROOKLYN, NY 11226
(212) 523-6500
(212) 523-7182
Mailing address
1000 10TH AVE # 2T, NEW YORK, NY 10019-1147
(212) 523-6500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
005773-1
NY
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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