Provider Demographics
NPI:1851799290
Name:NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
Entity Type:Organization
Organization Name:NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-263-6453
Mailing Address - Street 1:550 1ST AVE
Mailing Address - Street 2:NBV 9E2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:NBV 9E2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-6453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty