Organization
BETH ISRAEL MEDICAL CENTER
Active
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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