Healthcare Provider Details

I. General information

NPI: 1477582476
Provider Name (Legal Business Name): BETH ISRAEL MEDICAL CENTER PSYCHIATRY & BEHAVIORAL SCIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 04/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 NATHAN D PERLMAN PL 2 BERNSTEIN PAVILION - ATTN: SABRINA LITTLE
NEW YORK NY
10003-3801
US

IV. Provider business mailing address

9 NATHAN D PERLMAN PL 2 BERNSTEIN PAVILION - ATTN: SABRINA LITTLE
NEW YORK NY
10003-3801
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-4714
  • Fax: 212-420-4397
Mailing address:
  • Phone: 212-420-4714
  • Fax: 212-420-4397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SABRINA LITTLE
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 212-420-4714