Organization
BETH ABRAHAM HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MANN (CFO)
(718) 519-5937
Entity
Organization
Contact information
Practice address
612 ALLERTON AVE, BRONX, NY 10467-7404
(718) 881-3000
Mailing address
612 ALLERTON AVE, BRONX, NY 10467-7404
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00791442
—
NY
Enumeration date
10/04/2006
Last updated
05/27/2008
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