Organization
BETH ABRAHAM HEALTH SERVICES
Active
Organization
BETH ABRAHAM HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIS VALLEJO MD (PHYSICIAN)
(718) 515-8600
Entity
Organization
Contact information
Practice address
2401 WHITE PLAINS RD, BRONX, NY 10467-8108
(718) 515-8600
(718) 653-2078
Mailing address
2401 WHITE PLAINS RD, BRONX, NY 10467-8108
(718) 515-8600
(718) 653-2078
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
189917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189917
NY LICENSE
NY
Enumeration date
02/22/2007
Last updated
07/15/2008
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