Provider Demographics
NPI:1417338005
Name:HOTEL BENEFIT FUNDS
Entity type:Organization
Organization Name:HOTEL BENEFIT FUNDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MATER
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIOSTE-VICTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-586-6400
Mailing Address - Street 1:625 MAIN ST APT 1432
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0036
Mailing Address - Country:US
Mailing Address - Phone:917-346-9708
Mailing Address - Fax:
Practice Address - Street 1:625 MAIN ST APT 1432
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10044-0036
Practice Address - Country:US
Practice Address - Phone:917-346-9708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOTEL TRAITS BENEFITS FUNDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281387-1313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY122253489Medicare PIN