Provider Demographics
NPI:1780138974
Name:NYULANGONEMEDICALCENTER
Entity type:Organization
Organization Name:NYULANGONEMEDICALCENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSESTAFF
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-967-2971
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:NBV-8S3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:NBV-8S3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-263-7822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren