# BETH ISRAEL AMBULATORY CARE SERVICES CORP

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

## Provider details

- **NPI number:** 1942363098
- **Authorized official:** MR. JOHN COLLURA (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (212) 636-8468

## Contact information

- **Practice address:** 3121 KINGS HIGHWAY, BETH ISRAEL AMBULATORY CARE SERVICES CORP, BROOKLYN, NY 11234-2644
- **Practice address phone:** (212) 256-3296
- **Practice address fax:** (212) 256-3595
- **Mailing address:** 160 WATER ST, 24TH FLOOR ATTN: JILLIAN SUMPTER, NEW YORK, NY 10038-4922
- **Mailing address phone:** (212) 256-3296
- **Mailing address fax:** (212) 256-3595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7001269P | NY | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/09/2015