Provider Demographics
NPI:1881756138
Name:BELLEVUE HOSPITAL
Entity type:Organization
Organization Name:BELLEVUE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOMPLAISIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1212-562-1700
Mailing Address - Street 1:201 W 93RD ST
Mailing Address - Street 2:APT 11C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7416
Mailing Address - Country:US
Mailing Address - Phone:191-749-3102
Mailing Address - Fax:
Practice Address - Street 1:462 FIRST AVE
Practice Address - Street 2:NEW AMB CARE BUILDING
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026
Practice Address - Country:US
Practice Address - Phone:121-256-2170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4131261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center