Provider Demographics
NPI:1407159973
Name:NEW YORK CITY HEALTH AND HOSPIATL CORP.
Entity Type:Organization
Organization Name:NEW YORK CITY HEALTH AND HOSPIATL CORP.
Other - Org Name:BELLEVUE HOSPIATL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUDWIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW CASAC
Authorized Official - Phone:212-562-7341
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-4594
Mailing Address - Fax:212-562-4248
Practice Address - Street 1:401 GROVE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-5506
Practice Address - Country:US
Practice Address - Phone:917-922-4521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NYC HHC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder