Provider Demographics
NPI:1891911087
Name:NEW YORK PRESBYTERIAN HOSPITAL WEILL MEDICAL COLLEGE
Entity Type:Organization
Organization Name:NEW YORK PRESBYTERIAN HOSPITAL WEILL MEDICAL COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PALLIATIVE CARE NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:SCHACK
Authorized Official - Suffix:
Authorized Official - Credentials:GNP
Authorized Official - Phone:212-746-5779
Mailing Address - Street 1:525 EAST 68TH STREET
Mailing Address - Street 2:ROOM F1401
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-5779
Mailing Address - Fax:212-746-8230
Practice Address - Street 1:525 EAST 68TH STREET
Practice Address - Street 2:ROOM F1401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-5779
Practice Address - Fax:212-746-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340614-1282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital