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Organization

BETH ISRAEL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN MALCOLM SAMUELS MPH (ADMINISTRATIVE DIRECTOR OF AIDS SVC)
(212) 420-5693
Entity
Organization

Contact information

Practice address
317 E 17TH ST FL 1, NEW YORK, NY 10003-3804
(212) 420-2307
(212) 420-3971
Mailing address
317 E 17TH ST FL 1, NEW YORK, NY 10003-3804
(212) 420-2307
(212) 420-3971

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038499
NY

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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