MEDICARE: BIMC NEUROBEHAVIORAL & ALZHEIMER DISEASE ASSOC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1275562274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIMC NEUROBEHAVIORAL & ALZHEIMER DISEASE ASSOC.

Provider Business Mailing Address
First Line	:	9 NATHAN D PERLMAN PL
Second Line	:	2 BERNSTEIN PAVILION - ATTN: SABRINA LITTLE
City	:	NEW YORK
State	:	NY
Zip	:	10003-3801
Country	:	US
Telephone Number	:	212-420-4714
Fax Number	:	212-420-4397

Provider Business Practice Location Address
First Line	:	9 NATHAN D PERLMAN PL
Second Line	:	2 BERNSTEIN PAVILION - ATTN: SABRINA LITTLE
City	:	NEW YORK
State	:	NY
Zip	:	10003-3801
Country	:	US
Telephone Number	:	212-420-4714
Fax Number	:	212-420-4397

Authorized Official
Title or Position	:	CHAIRMAN/DEPT. OF PSYCHIATRY
Name	:	DR. ARNOLD WINSTON
Credential	:	M.D.
Telephone Number	:	212-420-2555

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	11/03/2008

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Directions to “BIMC NEUROBEHAVIORAL & ALZHEIMER DISEASE ASSOC. ” Practice Location

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