Provider Demographics
NPI:1922173210
Name:NEW YORK UNIVERSITY STUDENT HEALTH CENTER
Entity Type:Organization
Organization Name:NEW YORK UNIVERSITY STUDENT HEALTH CENTER
Other - Org Name:NEW YORK UNIVERSITY HEALTH CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP CAMPUS HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLO
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOTOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-443-1000
Mailing Address - Street 1:726 BROADWAY
Mailing Address - Street 2:3RD AND 4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9502
Mailing Address - Country:US
Mailing Address - Phone:212-443-1000
Mailing Address - Fax:212-443-1002
Practice Address - Street 1:726 BROADWAY
Practice Address - Street 2:3RD AND 4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9502
Practice Address - Country:US
Practice Address - Phone:212-443-1000
Practice Address - Fax:212-443-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health