Provider Demographics
NPI:1790805265
Name:CHILDREN'S HOSPITAL OF NY PRESBYTERIAN
Entity Type:Organization
Organization Name:CHILDREN'S HOSPITAL OF NY PRESBYTERIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PED NURSE PRACTITIONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTONE
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:212-342-8530
Mailing Address - Street 1:53 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3822
Mailing Address - Country:US
Mailing Address - Phone:845-356-0457
Mailing Address - Fax:
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:5 TOWER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1559
Practice Address - Country:US
Practice Address - Phone:212-342-8530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381746282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren