Provider Demographics
NPI:1003824608
Name:NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Entity Type:Organization
Organization Name:NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Other - Org Name:MORRISANIA DIAGNOSTIC & TREATMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARJI
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-458-3481
Mailing Address - Street 1:50 WATER ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-6010
Mailing Address - Country:US
Mailing Address - Phone:646-458-3481
Mailing Address - Fax:646-458-3434
Practice Address - Street 1:1225 GERARD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-8001
Practice Address - Country:US
Practice Address - Phone:718-960-2772
Practice Address - Fax:718-960-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00246144Medicaid
NY00246144Medicaid
NYW21581Medicare PIN