Provider Demographics
NPI:1225257587
Name:THE NEW YORK HOTEL TRADES COUNCIL AND THE HOTEL ASSOC. OF NYC, HEALTH
Entity Type:Organization
Organization Name:THE NEW YORK HOTEL TRADES COUNCIL AND THE HOTEL ASSOC. OF NYC, HEALTH
Other - Org Name:HARLEM HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENSPAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-586-6400
Mailing Address - Street 1:133 MORNINGSIDE AVE
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:212-923-2525
Mailing Address - Fax:212-222-4893
Practice Address - Street 1:133 MORNINGSIDE AVE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-923-2525
Practice Address - Fax:212-222-4893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026290302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY026290OtherPHARMACY REGISTRATION
NYBN8607078OtherDEA REGISTRATION