Provider Demographics
NPI:1821474644
Name:NYU LANGONE MEDICAL CENTER
Entity Type:Organization
Organization Name:NYU LANGONE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT-GERIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARMINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MATTHEUS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:352-214-1201
Mailing Address - Street 1:530 1ST AVENUE
Mailing Address - Street 2:7J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-8313
Mailing Address - Fax:
Practice Address - Street 1:530 1ST AVENUE
Practice Address - Street 2:7J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-8313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30307426282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital