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General NPI Number Information
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NPI Number | 1174689665
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Entity Type | Organization
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Legal Business Name | BETH ISRAEL MEDICAL CENTER
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3201 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11234-2625
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Country | US
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Telephone | 646-605-6009
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Fax | 212-256-3080
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PLACE BOX 1011
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 646-605-4111
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Fax | 212-256-3080
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | MR. MICHAEL PASTIER
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Credential |
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Telephone | 646-605-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 7002002H
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 7002002H
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | 7002002H
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 7001041H
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 7002002H
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License Number State | NY
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