LICH FACULTY PRACTICE (NPI# 1487988044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487988044 |
| Entity Type | Organization |
| Organization Name | LICH FACULTY PRACTICE |
| Practice Address |
160 Water St 20th Floor New York NY 10038-4922 |
| Practice Telephone | 8008085522 |
| Mailing Telephone | 8008085522 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | DEBORAH HACKETT (VICE PRESIDENT) |
| Authorized Official Telephone | 2122563424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326375510 | Lich Faculty Practice | Urology | 339 Hicks St, 7th Floor, Brooklyn, NY 11201-5509 | 2009-11-09 |
| 1598999195 | Lich Faculty Practice | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Henry St, Brooklyn, NY 11201-6001 | 2009-05-11 |
| 1841457967 | Lich Faculty Practice | Psychiatry & Neurology | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2008-05-16 |
| 1982888632 | Lich Faculty Practice | Dermatology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1790969442 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1174707822 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1346424090 | Lich Faculty Practice | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1255515904 | Lich Faculty Practice | Otolaryngology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1437333184 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1699958678 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-12 |
| Street Address |
160 WATER ST 20TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142540 | Helaine Katoria Worrell | Obstetrics & Gynecology | 160 Water St, New York, NY 10038-4922 | 2006-02-10 |
| 1427570530 | Johanne Maurisset | Nurse Practitioner | 160 Water St, New York, NY 10038-4922 | 2017-07-10 |
| 1063840098 | Caitlin Moran | Dietitian, Registered | 160 Water St, 19th Floor, New York, NY 10038-4922 | 2013-10-30 |
| 1700120011 | Lydia Lucca | Physician Assistant | 160 Water St, 3rd Floor, New York, NY 10038-4922 | 2012-11-27 |
| 1730459900 | Metroplus Health Plan Inc. | Case Management | 160 Water St, 3rd Floor, New York, NY 10038-5009 | 2012-01-05 |
| 1447584008 | Slrhc Faculty Practice | Dermatology | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1548594203 | Bimc Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1174772479 | Beth Israel Medical Center | Clinic/Center | 160 Water St, New York, NY 10038-4922 | 2008-09-11 |
| 1588811442 | Valentin Bonilla Jr. | Physician Assistant | 160 Water St, 2420, New York, NY 10038-4922 | 2008-08-22 |
| 1881817583 | Beth Israel Medical Center | General Acute Care Hospital | 160 Water St, New York, NY 10038-4922 | 2007-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| 1558971929 | New Jersey Birdie Health PC | Internal Medicine | 330 E 38th St Apt 15c, New York, NY 10016-2769 | 2020-07-31 |
| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
| 1891319810 | Careathome Medical Practice, PC | Internal Medicine | 287 Park Ave S Fl 3, New York, NY 10010-4573 | 2020-06-05 |
| 1487276473 | Alinea Medical Associates PC | Internal Medicine | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.