Healthcare Provider Details

I. General information

NPI: 1336332667
Provider Name (Legal Business Name): METROPOLITAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2717 SCHLEIGEL BLVD
AMITYVILLE NY
11701-1345
US

IV. Provider business mailing address

2717 SCHLEIGEL BLVD
AMITYVILLE NY
11701-1345
US

V. Phone/Fax

Practice location:
  • Phone: 718-404-2185
  • Fax:
Mailing address:
  • Phone: 718-404-2185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number0089371
License Number StateNY

VIII. Authorized Official

Name: CARLOS ANTONIO BENT JR.
Title or Position: OCCUPATIONAL THERAPIST
Credential:
Phone: 212-423-6753