Provider Demographics
NPI:1881021418
Name:NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Entity Type:Organization
Organization Name:NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Other - Org Name:NYU-HHC CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVIS-KEELING
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:212-263-6410
Mailing Address - Street 1:227 E 30TH ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8203
Mailing Address - Country:US
Mailing Address - Phone:212-640-2410
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:C&D BUILDING, 4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-263-6411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service