Provider Demographics
NPI:1326241134
Name:WOODHULL HOSPITAL
Entity Type:Organization
Organization Name:WOODHULL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR.SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BIJU
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-963-5885
Mailing Address - Street 1:50 TODD CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4224
Mailing Address - Country:US
Mailing Address - Phone:631-220-4519
Mailing Address - Fax:718-630-3138
Practice Address - Street 1:50 TODD CT
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4224
Practice Address - Country:US
Practice Address - Phone:631-220-4519
Practice Address - Fax:718-630-3138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069503282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY294959Medicare ID - Type Unspecified