Provider Demographics
NPI:1740658277
Name:SAINT BARNABAS HEALTH SYSTEM
Entity type:Organization
Organization Name:SAINT BARNABAS HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:LIKITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANUGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-756-4520
Mailing Address - Street 1:2132 WALLACE AVENUE
Mailing Address - Street 2:APT-242
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2132 WALLACE AVE
Practice Address - Street 2:APT-242
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2573
Practice Address - Country:US
Practice Address - Phone:917-756-4520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access