Provider Demographics
NPI:1174650014
Name:BELLEVUE HOSPITAL
Entity Type:Organization
Organization Name:BELLEVUE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:GONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-729-3297
Mailing Address - Street 1:79-01 BROADWAY
Mailing Address - Street 2:D-11
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-3515
Mailing Address - Fax:718-334-5688
Practice Address - Street 1:79-01 BROADWAY
Practice Address - Street 2:D-11
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-3515
Practice Address - Fax:718-334-5688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231680282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital