Provider Demographics
NPI:1851750996
Name:NEW YORK CITY HEALTH & HOSPITALS CORPORATION
Entity Type:Organization
Organization Name:NEW YORK CITY HEALTH & HOSPITALS CORPORATION
Other - Org Name:CORRECTIONAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-774-7575
Mailing Address - Street 1:1839 42ND ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-1026
Mailing Address - Country:US
Mailing Address - Phone:347-774-7575
Mailing Address - Fax:347-774-8146
Practice Address - Street 1:1839 42ND ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1026
Practice Address - Country:US
Practice Address - Phone:347-774-7575
Practice Address - Fax:347-774-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019233333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158285OtherPK