Organization
BETH ISRAEL MEDICAL CENTER
Active
Parent organization
BETH ISRAEL MEDICAL CENTER
Other names
Beth Israel Diagnostic Pathology
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETH ISRAEL MEDICAL CENTER
Authorized official
MR. BRUCE MAC WENIG M.D. (CHAIRMAN/DIRECTOR)
(212) 420-2124
Entity
Organization
Contact information
Practice address
10 NATHAN D PERLMAN PLACE C/O BEVERLY COOPER, SUITE 12S34 - PATHOLOGY, NEW YORK, NY 10003-3851
(212) 420-2124
(212) 420-3449
Mailing address
1900 HEMPSTEAD TPKE C/O CANDICE BRENNAN, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(770) 666-9097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/23/2013
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