Provider Demographics
NPI:1326287566
Name:THE NEW YORK AND PRESBYTERIAN HOSPITAL
Entity Type:Organization
Organization Name:THE NEW YORK AND PRESBYTERIAN HOSPITAL
Other - Org Name:THE PRESBYTERIAN HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP CFO-TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-305-6845
Mailing Address - Street 1:555 W 57TH ST.
Mailing Address - Street 2:SUITE 1200; ATTENTION: JUANA ROMERO
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2925
Mailing Address - Country:US
Mailing Address - Phone:212-632-7556
Mailing Address - Fax:212-632-7591
Practice Address - Street 1:622 W 168TH STREET, 4TH FLOOR
Practice Address - Street 2:END STAGE RENAL DISEASE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-3394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00243178Medicaid
NY332305Medicare Oscar/Certification