Organization
NYU LUTHERAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DELLACERRA V.P. (VP MANAGED CARE & REVENUE COMPLIANC)
(718) 630-7103
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7133
(718) 630-7437
Mailing address
5800 3RD AVE, LUTHERAN MEDICAL CENTER MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220-3702
(718) 630-7477
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01228720
—
NY
Enumeration date
03/14/2008
Last updated
05/07/2015
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