Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Lukes Roosevelt Hospital Center

Organization Emergency Medicine Physician · NPI 1134211717

St Lukes Roosevelt Hospital Center provides Emergency Medicine Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 523-6745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X (NY)
Internal Medicine Physician Taxonomy 207R00000X (NY)
Pediatrics Physician Taxonomy 208000000X (NY)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1134211717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Wiener — Group Director · (212) 523-3981
Other names Emergency Medicine Associates Of Slr
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJuly 22, 2008
Mailing address407 Airport Executive Park, Nanuet, NY 10954-5288

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