Provider Demographics
NPI:1215050307
Name:NEW YORK PRESBYTERIAN MEDICAL CENTER
Entity type:Organization
Organization Name:NEW YORK PRESBYTERIAN MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HIV PRIMARY CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:JARTU
Authorized Official - Last Name:SAWO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:212-305-3174
Mailing Address - Street 1:1066 FULTON ST
Mailing Address - Street 2:PH
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2600
Mailing Address - Country:US
Mailing Address - Phone:917-903-7274
Mailing Address - Fax:
Practice Address - Street 1:180 FORT WASHINGTON AVE
Practice Address - Street 2:HP6 CLINIC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3735
Practice Address - Country:US
Practice Address - Phone:212-305-3174
Practice Address - Fax:212-305-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331008282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital