Provider Demographics
NPI:1104171057
Name:NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NEW YORK
Entity type:Organization
Organization Name:NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.P.N
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:LOPEZ
Authorized Official - Last Name:ESPINA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:718-447-6687
Mailing Address - Street 1:305 W 44TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-5402
Mailing Address - Country:US
Mailing Address - Phone:718-858-7200
Mailing Address - Fax:718-858-5007
Practice Address - Street 1:305 W 44TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-5402
Practice Address - Country:US
Practice Address - Phone:718-858-7200
Practice Address - Fax:718-858-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2564231261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2564231OtherSTATE LICENSE