Organization
ST LUKES ROOSEVELT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEYRAV MENAGED PHD (DIRECTOR)
(212) 523-5825
Entity
Organization
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-5825
(212) 523-6494
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
017170
NY
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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