Healthcare Provider Details

I. General information

NPI: 1528350089
Provider Name (Legal Business Name): ALBERT EINSTEIN COLLEGE OF MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 JARRET PL 2ND FLOOR
BRONX NY
10461-2606
US

IV. Provider business mailing address

1521 JARRET PL 2ND FLOOR
BRONX NY
10461-2606
US

V. Phone/Fax

Practice location:
  • Phone: 718-430-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number72079403
License Number StateNY

VIII. Authorized Official

Name: HANA RAMAT
Title or Position: SOCIAL WORKER
Credential:
Phone: 917-862-1663