Organization
BETH ISRAEL MEDICAL CENTER
Active
Organization
BETH ISRAEL MEDICAL CENTER
Active
Parent organization
BETH ISRAEL MEDICAL CENTER
Other names
Beth Israel Hospital Clinic Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETH ISRAEL MEDICAL CENTER
Authorized official
BRUCE WENIG MD (CHAIRMAN)
(212) 420-2124
Entity
Organization
Contact information
Practice address
10 NATHAN D PERLMAN PLACE, SUITE 12S34, NY 10003-3851
(212) 420-2124
(212) 420-3449
Mailing address
1900 HEMPSTEAD TURNPIKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02985073
—
NY
01
—
33D0667624
CLIA
NY
Enumeration date
07/26/2006
Last updated
12/29/2011
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