Healthcare Provider Details

I. General information

NPI: 1851666408
Provider Name (Legal Business Name): BETH ISRAEL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 1ST AVE
NEW YORK NY
10003-2925
US

IV. Provider business mailing address

761 GOLF DR
VALLEY STREAM NY
11581-3520
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number015256
License Number StateNY

VIII. Authorized Official

Name: DR. HARRIS NAGLER
Title or Position: PRESIDENT
Credential:
Phone: 212-844-8900