Provider Demographics
NPI:1962563858
Name:BELLEVUE HOSPITAL CENTER
Entity type:Organization
Organization Name:BELLEVUE HOSPITAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-562-2300
Mailing Address - Street 1:3930 47TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-1420
Mailing Address - Country:US
Mailing Address - Phone:718-392-5810
Mailing Address - Fax:
Practice Address - Street 1:3930 47TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1420
Practice Address - Country:US
Practice Address - Phone:718-392-5810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF 381181-1261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care