St.lukes Roosevelt Hospital Center Childrens Blended Case Managemen

NPI #1023554318 in New York, New York

Provider Information

NPI Number: 1023554318
Entity Type: Organization
Organization Name: St.lukes Roosevelt Hospital Center Childrens Blended Case Managemen
Subpart: Yes (part of a larger organization)
Parent Organization: ST. LUKE'S ROOSEVELT HOSPITAL
Primary Specialty: Pediatrics
Enumeration Date: Jan 11, 2017
Last Updated: Jan 11, 2017

Practice Location

Address: 1090 AMSTERDAM AVE
City: New York
State: New York
ZIP Code: 10025-1737
Phone: (212) 241-3257

Authorized Official

Name: ARHIMA JACOBS
Title: DIRECTOR OF GOVT AND GRANTS
Phone: (212) 256-3257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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