Organization · Type 2 NPI

ST Lukes Roosevelt Hospital Center

Gynecologic Oncology Physician · New York, NY

NPI number 1992701205 Active

Practice location

425 West 59th Street, Ste 9-B
New York, NY 10019-1104

Fax (212) 523-7731

Mailing address

PO Box 95000-2239
Philadelphia, PA 19195-2239

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201XNone listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1992701205

ST Lukes Roosevelt Hospital Center's National Provider Identifier is 1992701205, issued on Jun 22, 2005. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in New York, NY. The record was last updated on Jan 19, 2012.