Provider Demographics
NPI:1376270025
Name:NEWYORK-PRESBYTERIAN / BROOKLYN METHODIST
Entity Type:Organization
Organization Name:NEWYORK-PRESBYTERIAN / BROOKLYN METHODIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-780-5575
Mailing Address - Street 1:515 6TH STREET
Mailing Address - Street 2:C/O PHARMACY 6TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-780-5575
Mailing Address - Fax:718-780-7311
Practice Address - Street 1:515 6TH STREET
Practice Address - Street 2:C/O PHARMACY 6TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3645
Practice Address - Country:US
Practice Address - Phone:718-780-5575
Practice Address - Fax:718-780-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy