ST. LUKE'S ROOSEVELT HOSPITAL is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. ST. LUKE'S ROOSEVELT HOSPITAL NPI is 1912245762. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
43 W 69TH ST APT 3B
NEW YORK, NY
ZIP 10023-741
Phone: (646) 422-9463
The provider's authorized official is Ethan Fried .
The authorized official title is Md/program Director and has the following contact phone number (212) 523-3314.
The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.