Provider Demographics
NPI:1508987348
Name:STATE OF NEW YORK
Entity Type:Organization
Organization Name:STATE OF NEW YORK
Other - Org Name:HELEN HAYES HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-786-4202
Mailing Address - Street 1:51-55 NORTH ROUTE 9W
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1195
Mailing Address - Country:US
Mailing Address - Phone:845-786-4202
Mailing Address - Fax:845-947-0036
Practice Address - Street 1:51- 55 NORTH ROUTE 9W
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1195
Practice Address - Country:US
Practice Address - Phone:845-786-4202
Practice Address - Fax:845-947-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW78432Medicare ID - Type UnspecifiedNEUROLOGY
NYW19232Medicare ID - Type UnspecifiedPHYSICAL MED & REHAB
NYW78462Medicare ID - Type UnspecifiedCARDIOLOGY
NYW19282Medicare ID - Type UnspecifiedPSYCHIATRY
NYW19302Medicare ID - Type UnspecifiedINTERNAL MEDICINE