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Organization
NEW YORK INSTITUTE OF TECHNOLOGY
Active
Organization
NEW YORK INSTITUTE OF TECHNOLOGY
Active
Other names
Academic Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY CHARLES (ASSOCIATE DIRECTOR)
(516) 686-4969
Entity
Organization
Contact information
Practice address
600 NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER-NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-1300
(516) 686-7890
Mailing address
600 NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER-NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-1300
(516) 686-7890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
171100000X
Acupuncturist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821048612
GROUP NPI NUMBER
NY
01
—
W05883
MEDICARE GROUP NUMBER
NY
Enumeration date
05/11/2006
Last updated
04/17/2026
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