Provider Demographics
NPI:1124032982
Name:NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Entity Type:Organization
Organization Name:NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Other - Org Name:CONEY ISLAND HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF REVENUE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARJI
Authorized Official - Middle Name:
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:646-458-3413
Mailing Address - Fax:646-458-3434
Practice Address - Street 1:2601 OCEAN PARKWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-4834
Practice Address - Fax:718-616-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY09749OtherBLUE CROSS PROVIDER NO.
NY00246066Medicaid
NY09749OtherBLUE CROSS PROVIDER NO.
NY330196Medicare Oscar/Certification
NY00246066Medicaid