OrganizationTerence Cardinal Cooke Health Care CenterGeneral Acute Care HospitalHospitalsPractice Address1249 5th Ave, New York, NY 10029-4413(646) 633-4774PECOS EnrollmentBased on the most recent information from CMS, provider Terence Cardinal Cooke Health Care Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1760579452Provider TypeOrganizationFull NameTerence Cardinal Cooke Health Care CenterSubpartNoEnumeration Date10/6/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1249 5th Ave, New York, NY 10029-4413Phone(646) 633-4774FaxUnlisted FaxMailing LocationMailing Address1249 5th Ave, New York, NY 10029-4413Phone(646) 633-4774FaxUnlisted FaxAuthorized OfficialNameWerner, Robert (Vp Of Finance)Phone(646) 633-4774Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID00355202DescriptionMedicaidIssuerUnlistedNew York