Provider Demographics
NPI:1245386630
Name:LENOX HILL HOSPITAL
Entity Type:Organization
Organization Name:LENOX HILL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATAL NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:BERNER
Authorized Official - Suffix:
Authorized Official - Credentials:NNP
Authorized Official - Phone:212-434-2842
Mailing Address - Street 1:452 E 84TH ST
Mailing Address - Street 2:APT. 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6215
Mailing Address - Country:US
Mailing Address - Phone:212-774-1952
Mailing Address - Fax:
Practice Address - Street 1:100 E 77TH ST
Practice Address - Street 2:NCCU
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1850
Practice Address - Country:US
Practice Address - Phone:212-434-2842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-350048-1282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital