| Nyu Lutheran Medical Center | |
|
150 55th St Brooklyn NY 11220-2559 | |
| (718) 630-7000 | |
| (718) 630-7437 |
| Full Name | Nyu Lutheran Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 150 55th St, Brooklyn, New York |
| Authorized Official Name and Position | Gary Dellacerra (VP OF MANAGED CARE & REVENUE COMPLI) |
| Authorized Official Contact | 7186307103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyu Lutheran Medical Center 5800 3rd Ave Lutheran Medical Center-managed Care Dept Brooklyn NY 11220-3702 Ph: (718) 630-7103 | Nyu Lutheran Medical Center 150 55th St Brooklyn NY 11220-2559 Ph: (718) 630-7000 |
| NPI Number | 1528013695 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528013695 | NPI | - | NPPES |
| 00243729 | Medicaid | NY | |
| 001841 | Other | NY | BLUE CROSS BLUE SHIELD |
| H04049 | Other | NY | OXFORD |
| 3189449 | Other | NY | GHI |
| F0065 | Other | NY | HIP |
| 44800 | Other | NY | WELLCARE |
| 90011 | Other | NY | ELDERPLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7001019H (New York) | Primary |
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