NPI 1295048890 · live from the CMS NPI Registry
Soenke Boettger, MD
General Acute Care Hospital in New York, NY. National Provider Identifier 1295048890, active.
NPI record
| NPI | 1295048890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | General Acute Care Hospital 282N00000X |
| Practice location | 462 1st Ave, New York, NY 10016 |
| Practice phone | 212-263-6219 |
| Mailing address | 222 Grand St Apt 4b, C/O Reznik, Hoboken, NJ 07030 |
| Enumerated | July 23, 2010 |
| Last updated | July 23, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital primary | 282N00000X | 003516 (NY) |
| Psychiatric Hospital | 283Q00000X | 003516 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.