Organization
BETH ISRAEL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG HUSK MD (GROUP DIRECTOR)
(212) 420-2847
Entity
Organization
Contact information
Practice address
330 EAST 17TH ST, NEW YORK, NY 10003
(212) 420-2847
Mailing address
PO BOX 9120 GPO, NEW YORK, NY 10087-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02194585
—
NY
Enumeration date
10/10/2006
Last updated
11/20/2007
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