Provider Demographics
NPI:1073985321
Name:ST. FRANCIS HOSPITAL
Entity Type:Organization
Organization Name:ST. FRANCIS HOSPITAL
Other - Org Name:ST. FRANCIS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CABBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-562-6265
Mailing Address - Street 1:2200 NORTHERN BLVD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1219
Mailing Address - Country:US
Mailing Address - Phone:516-563-7710
Mailing Address - Fax:516-563-7711
Practice Address - Street 1:2200 NORTHERN BLVD
Practice Address - Street 2:SUITE 100A
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1219
Practice Address - Country:US
Practice Address - Phone:516-563-7710
Practice Address - Fax:516-563-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0335393336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2154495OtherPK