Organization
SLRHC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (VP)
(212) 256-3424
Entity
Organization
Contact information
Practice address
1000 10TH AVE, SUITE 3B 20, NEW YORK, NY 10019-1147
(212) 523-6594
Mailing address
1000 10TH AVE, SUITE 3B 20, NEW YORK, NY 10019-1147
(212) 523-6594
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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