Organization
SLRHC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT MD (VP)
(212) 256-3424
Entity
Organization
Contact information
Practice address
425 W 59TH ST, BRODSKY SUITE 6A, NEW YORK, NY 10019-1104
(212) 523-7621
Mailing address
425 W 59TH ST, BRODSKY SUITE 6A, NEW YORK, NY 10019-1104
(212) 523-7621
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
02/03/2012
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