Organization
NEW YORK PRESBYTERIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BROADHURST FNP (NURSE PRACTITIONER)
2123054960153245
Entity
Organization
Contact information
Practice address
622 W 168TH ST, HARKNESS PAVILION, NEW YORK, NY 10032-3720
(212) 305-4960
Mailing address
224 BEDFORD RD APT 5, PLEASANTVILLE, NY 10570-2236
(914) 769-4354
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F332527
NY
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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