ST LUKE'S CORNWALL HOSPITAL NPI 1033361340

NPI Information

  • NPI: 1033361340
  • Provider Name: ST LUKE'S CORNWALL HOSPITAL
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: FACULTY GROUP PRACTICE
  • Address: 21 LAUREL AVE STE 240
    FACULTY GROUP PRACTICE ST LUKE'S CORNWALL HOSPITAL
    CORNWALL, NY
    ZIP 12518
  • Phone: (845) 458-4876

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NPI Details

ST LUKE'S CORNWALL HOSPITAL is an internal medicine in Cornwall, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST LUKE'S CORNWALL HOSPITAL NPI is 1033361340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Faculty Group Practice.

The provider's business location address is:

21 LAUREL AVE STE 240
FACULTY GROUP PRACTICE ST LUKE'S CORNWALL HOSPITAL
CORNWALL, NY
ZIP 12518-476
Phone: (845) 458-4876
Fax: (845) 458-4560

The provider's authorized official is Jill G Barton .
The authorized official title is Vice President Of Finance and has the following contact phone number (845) 458-4023.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 9/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalNo
2363LA2100XNurse PractitionerAcute CareNo
3208600000XSurgeryNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103121666MEDICAIDNEW YORK
2A100001031MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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