Provider Demographics
NPI:1184797300
Name:LINCOLN HOSPITAL
Entity type:Organization
Organization Name:LINCOLN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR NEONATOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:BENAMANAHALLI
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAJEGOWDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-579-5360
Mailing Address - Street 1:234 E 149TH ST
Mailing Address - Street 2:ROOM 232
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5504
Mailing Address - Country:US
Mailing Address - Phone:718-579-5360
Mailing Address - Fax:718-579-4958
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:ROOM 232
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5360
Practice Address - Fax:718-579-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital