Provider Demographics
NPI:1710145776
Name:MEMORIAL SLOAN-KETTERING CANCER CENTER
Entity Type:Organization
Organization Name:MEMORIAL SLOAN-KETTERING CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:THORNTON
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP
Authorized Official - Phone:212-639-7555
Mailing Address - Street 1:475 MAIN ST
Mailing Address - Street 2:#11B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0085
Mailing Address - Country:US
Mailing Address - Phone:347-622-2284
Mailing Address - Fax:
Practice Address - Street 1:475 MAIN ST
Practice Address - Street 2:#11B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10044-0085
Practice Address - Country:US
Practice Address - Phone:347-622-2284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY430352282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital