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Organization

SLRHC FACULTY PRACTICE NEUROSURGERY IOM/SLR

Active
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Organization

SLRHC FACULTY PRACTICE NEUROSURGERY IOM/SLR

Active
Parent organization
SAINT LUKE'S ROOSEVELT HOSPITAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINT LUKE'S ROOSEVELT HOSPITAL CENTER
Authorized official
PETER RAPPA (ADMINISTRATOR)
(212) 636-3400
Entity
Organization

Contact information

Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 636-3400
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 636-3400

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
208600000X
Surgery Physician

Other

Enumeration date
08/07/2007
Last updated
08/07/2007
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