Organization
YESHIVA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL GENN (ASSOCIATE DEAN OF BUSINESS AFFAIRS)
(718) 409-9450
Entity
Organization
Contact information
Practice address
1500 WATERS PLACE, BPC BETTY PARKER BLDG WD 20 6TH FL, BRONX, NY 10461
(718) 409-9450
(718) 931-1432
Mailing address
1300 MORRIS PARK AVENUE, BRONX, NY 10461
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245643
—
NY
Enumeration date
02/13/2007
Last updated
08/22/2020
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