Provider Demographics
NPI:1205205911
Name:NYC HEALTH AND HOSPITALS CORPORATION
Entity Type:Organization
Organization Name:NYC HEALTH AND HOSPITALS CORPORATION
Other - Org Name:GEORGE MOTCHAN DETENTION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-396-4423
Mailing Address - Street 1:1515 HAZEN ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1381
Mailing Address - Country:US
Mailing Address - Phone:347-774-7545
Mailing Address - Fax:347-774-8088
Practice Address - Street 1:1515 HAZEN ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1381
Practice Address - Country:US
Practice Address - Phone:347-774-7545
Practice Address - Fax:347-774-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0064973336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy