Provider Demographics
NPI:1790035822
Name:NEW YORK HOTEL TRADES AND COUNCIL
Entity Type:Organization
Organization Name:NEW YORK HOTEL TRADES AND COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BORRERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-448-7544
Mailing Address - Street 1:52 DERBY CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-2626
Mailing Address - Country:US
Mailing Address - Phone:718-448-7544
Mailing Address - Fax:
Practice Address - Street 1:773 9TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6336
Practice Address - Country:US
Practice Address - Phone:212-586-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6534571261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service