Provider Demographics
NPI:1215370762
Name:NEW YORK PRESBYTERIAN HOSPITAL
Entity Type:Organization
Organization Name:NEW YORK PRESBYTERIAN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:AFARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARROKHPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-363-0765
Mailing Address - Street 1:15 BEACH RD
Mailing Address - Street 2:SUITE 2P
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 BEACH RD
Practice Address - Street 2:SUITE 2P
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1143
Practice Address - Country:US
Practice Address - Phone:917-363-0765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital