Provider Demographics
NPI:1306127493
Name:BRONX LEBANON HOSPITAL CENTER
Entity type:Organization
Organization Name:BRONX LEBANON HOSPITAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELTEM
Authorized Official - Middle Name:
Authorized Official - Last Name:YALCIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-767-6864
Mailing Address - Street 1:1770 GRAND CONCOURSE APT 5G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-5527
Mailing Address - Country:US
Mailing Address - Phone:917-767-6864
Mailing Address - Fax:
Practice Address - Street 1:1770 GRAND CONCOURSE APT 5G
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-5527
Practice Address - Country:US
Practice Address - Phone:917-767-6864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp