Provider Demographics
NPI:1033401476
Name:NEW YORK CITY HEALTH & HOSPITALS COORPORATION
Entity Type:Organization
Organization Name:NEW YORK CITY HEALTH & HOSPITALS COORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SOCIAL WORK
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-423-7804
Mailing Address - Street 1:1901 1ST AVE
Mailing Address - Street 2:ROOM 6M28
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7404
Mailing Address - Country:US
Mailing Address - Phone:212-423-6751
Mailing Address - Fax:212-423-7027
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:ROOM 6M28
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6751
Practice Address - Fax:212-423-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72081563273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY72081563OtherLISCENSE OF MASTER OF SOCIAL WORK