Organization
BIMC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (VP)
(212) 256-3424
Entity
Organization
Contact information
Practice address
317 E 17TH ST, 11TH FLOOR FIERMAN HALL, NEW YORK, NY 10003-3804
(212) 420-2584
Mailing address
317 E 17TH ST, 11TH FLOOR FIERMAN HALL, NEW YORK, NY 10003-3804
(212) 420-2584
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
02/23/2012
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