HAZELDEN NEW YORK NPI 1053605923

NPI Information

NPI: 1053605923
Provider Name: HAZELDEN NEW YORK

Other Name: TRIBECA TWELVE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 33D2072074

Address:
283 W BROADWAY
NEW YORK, NY
ZIP 10013
Phone: (212) 420-9520
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HAZELDEN NEW YORK is a rehabilitation and substance use disorder clinic center in New York, NY. HAZELDEN NEW YORK NPI is 1053605923. The provider is registered as an organization entity type.
The provider Other Name Is Tribeca Twelve.

The provider's business location address is:

283 W BROADWAY
NEW YORK, NY
ZIP 10013-204
Phone: (212) 420-9520

The provider's authorized official is Barbara Kistenmacher .
The authorized official title is Executive Director Hazelden Ny and has the following contact phone number (212) 420-9520.

The CLIA number assigned to this NPI record is 33D2072074 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 6/8/2011.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	070411517	NEW YORK	Yes

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: 4/28/2024

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