Organization
BIMC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (PROVIDER ENROLLMENT MANAGER)
(212) 256-3424
Entity
Organization
Contact information
Practice address
10 UNION SQ E, SUITE 5P, NEW YORK, NY 10003-3314
(212) 844-8680
Mailing address
160 WATER ST, 20 FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
02/03/2012
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