NewYork-Presbyterian Hospital’s dense web of mostly older buildings at its 20-acre campus in Upper Manhattan is not unusual for medical complexes constructed over many decades. Administrators and trustees balk at demolishing old facilities, and so with a nip here and a tuck there structures survive long past their original life expectancies, even as new space is desperately needed. The conundrum motivates these clients and their architects to scour the environs for sites they previously would never have considered.

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