Organization
BETH ISRAEL MEDICAL CENTER
Active
Parent organization
BETH ISRAEL MEDICAL CENTER
Other names
Milton and Carroll Petrie Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETH ISRAEL MEDICAL CENTER
Authorized official
MR. KENNETH BARRITT (SENIOR VICE PRESIDENT)
(646) 605-4217
Entity
Organization
Contact information
Practice address
FIRST AVENUE & 16TH STREET, NEW YORK, NY 10003
(212) 256-3027
(212) 256-3595
Mailing address
160 WATER ST FL 24, NEW YORK, NY 10038-4922
(212) 256-3296
(212) 256-3594
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7002002H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00003
BLUE CROSS
NY
01
—
000803
BLUE CROSS
NY
05
—
00710430
—
NY
05
—
01597108
—
NY
05
—
02568243
—
NY
Enumeration date
12/05/2008
Last updated
04/15/2019
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