# ALBERTEINSTEIN COLLEGE OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255643193
- **Authorized official:** MR. BENNY PADGETT CASAC (SUBSTANCE ABUSE COUNSELOR II)
- **Authorized official phone:** (718) 665-7500

## Contact information

- **Practice address:** 804 E 138TH ST, BRONX, NY 10454-1902
- **Practice address phone:** (718) 665-7500
- **Practice address fax:** (718) 665-4768
- **Mailing address:** 804 E 138TH ST, BRONX, NY 10454-1902
- **Mailing address phone:** (718) 665-7500
- **Mailing address fax:** (718) 665-4768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 302R00000X | NY | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 07/08/2010