Active NPI
Slrhc Faculty Practice
- Neurology Physician
- New York, NY
National Provider Identifier
1861652927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- SLRHC FACULTY PRACTICE
- Practice address
- 425 W 59TH St
Brodsky Suite 6a
New York, NY 10019-1104 - Phone
- (212) 523-7621
- NPI assigned
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Hackett, MD
- Title
- VP
- Phone
- (212) 256-3424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
425 W 59TH St
Brodsky Suite 6a
New York, NY 10019-1104
Mailing address
425 W 59TH St
Brodsky Suite 6a
New York, NY 10019-1104
Phone (212) 523-7621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1861652927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 59TH ST",
"address_2": "BRODSKY SUITE 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191104",
"telephone_number": "212-523-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 59TH ST",
"address_2": "BRODSKY SUITE 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191104",
"telephone_number": "212-523-7621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLRHC FACULTY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "HACKETT",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "212-256-3424",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.