Organization
BETH ISRAEL MEDICAL CENTER
Active
Other names
Beth Israel Medical Center MMTP
Organization subpart
No
Provider details
NPI number
Authorized official
TERI FRIEDMAN (AUTHORIZED OFFICAL)
(212) 256-2598
Entity
Organization
Contact information
Practice address
160 WATER ST FL 24, NEW YORK, NY 10038-4922
(212) 256-2588
Mailing address
1ST AVENUE AT 16TH STREET, NEW YORK, NY 10003-3851
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
7002002H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QM2800X
TAXONOMY
NY
Enumeration date
09/15/2015
Last updated
04/20/2016
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