Organization
BETHANY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIYE BODUR (PRACTICE ADMINISTRATOR)
(929) 300-5070
Entity
Organization
Contact information
Practice address
222 E 21ST ST STE 1R, NEW YORK, NY 10010-7420
(315) 201-0621
Mailing address
222 E 31ST ST APT 1R, NEW YORK, NY
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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