Provider Demographics
NPI:1134479173
Name:NY HOTEL AND TRADES COUNCIL AND ASSOCIATION OF NYS
Entity Type:Organization
Organization Name:NY HOTEL AND TRADES COUNCIL AND ASSOCIATION OF NYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-477-0152
Mailing Address - Street 1:305 W 44TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-5402
Mailing Address - Country:US
Mailing Address - Phone:212-586-6400
Mailing Address - Fax:
Practice Address - Street 1:773 9TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6336
Practice Address - Country:US
Practice Address - Phone:212-586-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310468-1261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center