=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831269273
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETANCES HEALTH CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/09/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 280 HENRY ST BETANCES HEALTH CENTER
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-4816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-227-8401
-----------------------------------------------------
Fax | 212-227-8842
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 280 HENRY ST BETANCES HEALTH CENTER
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-4816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-227-8401
-----------------------------------------------------
Fax | 212-227-8842
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DEPUTY EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | PATRICIA A TROY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 212-227-8401
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | F304500
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | F420815
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 575563
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------