Organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DAY (CHIEF OPERATING OFFICER)
(212) 523-8761
Entity
Organization
Contact information
Practice address
1000 10TH AVE, 2T CLINIC, NEW YORK, NY 10019-1147
(212) 636-3600
Mailing address
1000 10TH AVE, 2T CLINIC, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640706
—
NY
01
—
026561
LICENSE
NY
01
—
3344289
NCPDP
NY
Enumeration date
02/01/2007
Last updated
03/07/2023
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