Organization
BETH ISRAEL MEDICAL CENTER - PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (AVP)
(212) 256-3424
Entity
Organization
Contact information
Practice address
10 NATHAN D PERLMAN PL, 16TH ST AT 1ST AVENUE, NEW YORK, NY 10003-3851
(212) 420-2000
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01408951
—
NY
Enumeration date
10/22/2007
Last updated
10/22/2007
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