Provider Demographics
NPI:1508279936
Name:NYU HOSPITAL FOR JOINT DISEASES
Entity Type:Organization
Organization Name:NYU HOSPITAL FOR JOINT DISEASES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OTSUKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DO
Authorized Official - Phone:212-598-6271
Mailing Address - Street 1:151-39 12TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357
Mailing Address - Country:US
Mailing Address - Phone:917-837-4860
Mailing Address - Fax:
Practice Address - Street 1:15139 12TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1829
Practice Address - Country:US
Practice Address - Phone:917-837-4860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381829284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital