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Organization

ST. LUKE'S-ROOSEVELT HOSPITAL CENTER

Active
Other names
The Storefront
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON TREVOR HOWARD M.D. (INTERNAL MEDICINE)
(212) 586-4773
Entity
Organization

Contact information

Practice address
350 A WEST 49TH STREET, NEW YORK, NY 10019
(212) 586-4773
(212) 974-0228
Mailing address
350 A WEST 49TH STREET, NEW YORK, NY 10019
(212) 586-4773
(212) 974-0228

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
60246452
NY
261QP2300X
Primary Care Clinic/Center
Primary
60246452
NY

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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