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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