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Organization

ALBERTEINSTEIN COLLEGE OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENNY PADGETT CASAC (SUBSTANCE ABUSE COUNSELOR II)
(718) 665-7500
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
NY

Other

Enumeration date
07/08/2010
Last updated
07/08/2010
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