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Organization

MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GUNN (CEO)
(212) 639-6017
Entity
Organization

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7002020H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000019
BLUE CROSS ID#
NY
01
0005044
WELLCARE ID#
NY
01
0009741
US HEALTHCARE ID#
NY
05
00243467
NY
01
330154
AMERIHEALTH ID#
NY
01
990082
CONNECTICARE ID#
NY
01
HO1586
OXFORD ID#
NY
01
IC0144
HEALTHNET ID#
NY
Enumeration date
04/04/2006
Last updated
06/19/2008
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