Provider Demographics
NPI:1760480628
Name:NYU LANGONE HOSPITALS
Entity Type:Organization
Organization Name:NYU LANGONE HOSPITALS
Other - Org Name:NYU LANGONE HOSPITAL LONG ISLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:PALMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-663-2311
Mailing Address - Street 1:200 OLD COUNTRY ROAD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4235
Mailing Address - Country:US
Mailing Address - Phone:516-663-9012
Mailing Address - Fax:516-663-4979
Practice Address - Street 1:530 HICKSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-3415
Practice Address - Country:US
Practice Address - Phone:516-663-4985
Practice Address - Fax:516-663-4979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NYU LANGONE HOSPITALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-13
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2908000H261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00244211Medicaid
NY333522Medicare Oscar/Certification