Organization
BETH ISRAEL MEDICAL CENTER
Active
Other names
SURGICAL SERVICES OF BIMC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (AVP)
(212) 256-3424
Entity
Organization
Contact information
Practice address
10 UNION SQ E, SUITE 2P, NEW YORK, NY 10003-3314
(212) 844-8200
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
10/11/2007
Last updated
08/15/2008
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