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
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-2704
Mailing address
160 WATER ST, 23RD FL, NEW YORK, NY 10038-4922
(212) 420-2704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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