Provider Demographics
NPI:1598072571
Name:WINTHROP UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:WINTHROP UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIVYANJALI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-481-5050
Mailing Address - Street 1:260 1ST ST
Mailing Address - Street 2:A3,
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2359
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:260 1ST ST
Practice Address - Street 2:A3
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2359
Practice Address - Country:US
Practice Address - Phone:860-481-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-11
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital