Provider Demographics
NPI:1952749913
Name:HACKENSACK UNIVERSITY MEDICAL CENTER
Entity type:Organization
Organization Name:HACKENSACK UNIVERSITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COFINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-996-2374
Mailing Address - Street 1:118 CHARLTON AVE # B
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-1508
Mailing Address - Country:US
Mailing Address - Phone:201-257-8065
Mailing Address - Fax:
Practice Address - Street 1:118 CHARLTON AVE # B
Practice Address - Street 2:
Practice Address - City:HASBROUCK HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07604-1508
Practice Address - Country:US
Practice Address - Phone:201-257-8065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital