Provider Demographics
NPI:1609901214
Name:LINCOLN HOSPITAL
Entity Type:Organization
Organization Name:LINCOLN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIHREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMITROV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-579-5874
Mailing Address - Street 1:28-40 48TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1240
Mailing Address - Country:US
Mailing Address - Phone:262-492-4163
Mailing Address - Fax:
Practice Address - Street 1:2840 48TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-1240
Practice Address - Country:US
Practice Address - Phone:262-492-4163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital