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Organization

BIMC FACULTY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH HACKETT (VP)
(646) 605-4155
Entity
Organization

Contact information

Practice address
10 UNION SQ E, SUITE 4H, NEW YORK, NY 10003-3314
(212) 844-8450
Mailing address
150 E 42ND ST, 5TH FLOOR, NEW YORK, NY 10017-5612
(646) 605-4155

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
06/06/2007
Last updated
12/04/2015
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