Provider Demographics
NPI:1649727728
Name:NYU LANGONE MEDICAL CENTER
Entity type:Organization
Organization Name:NYU LANGONE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINING PROGRAM SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNESSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-263-0367
Mailing Address - Street 1:11006 72ND AVE., APT 3A
Mailing Address - Street 2:FOREST HILLS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-501-1787
Mailing Address - Fax:
Practice Address - Street 1:317E 34TH ST., PEDIATRIC NEUROSURGERY, 10TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:718-501-1787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ99327282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital