Provider Demographics
NPI:1982766150
Name:HARLEM HOSPITAL CENTER
Entity Type:Organization
Organization Name:HARLEM HOSPITAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAHOZ
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:212-939-8063
Mailing Address - Street 1:11109 66TH RD
Mailing Address - Street 2:APT. 1-C
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-8209
Mailing Address - Country:US
Mailing Address - Phone:718-997-6512
Mailing Address - Fax:
Practice Address - Street 1:506 MALCOLM X BLVD
Practice Address - Street 2:12TH FLOOR. DEP. OF SURGERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-8063
Practice Address - Fax:212-939-8038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010227-1282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital