Provider Demographics
NPI:1134131030
Name:NEW YORK-PRESBYTERIAN/LAWRENCE HOSPITAL
Entity Type:Organization
Organization Name:NEW YORK-PRESBYTERIAN/LAWRENCE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-787-3358
Mailing Address - Street 1:55 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3403
Mailing Address - Country:US
Mailing Address - Phone:914-787-1000
Mailing Address - Fax:914-472-5795
Practice Address - Street 1:55 PALMER AVE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3403
Practice Address - Country:US
Practice Address - Phone:914-787-1000
Practice Address - Fax:914-472-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00274093Medicaid
NY30727OtherBLUE CROSS
NYH03069OtherOXFORD
NYIB0038OtherCARECORE HEALTHNET
NY8507OtherNALC
NY10016233OtherCDPHP
NY330061OtherLOCAL 1199
NY00107OtherBLUE CROSS
NYW7247100Medicare ID - Type Unspecified
NY10016233OtherCDPHP
NYW7242100Medicare ID - Type Unspecified