Organization
BIMC FACULTY PRACTICE
Active
Organization
BIMC FACULTY PRACTICE
Active
Other names
BIMC FACULTY PRACTICE BI NEUROSURERY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (AVP)
(212) 256-2424
Entity
Organization
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 256-3539
Mailing address
160 WATER ST, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
08/25/2008
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