MEDICARE: BETH ISRAEL MEDICAL CENTER

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	282N00000X	General Acute Care Hospital	097608	NY

General Provider Information

NPI Number	:	1437372992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETH ISRAEL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	132 W 125TH ST
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10027-4439
Country	:	US
Telephone Number	:	212-864-0904
Fax Number	:	212-865-6128

Provider Business Practice Location Address
First Line	:	132 W 125TH ST
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10027-4439
Country	:	US
Telephone Number	:	212-864-0904
Fax Number	:	212-865-6128

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. RANDY SEEWALD
Credential	:	M.D.
Telephone Number	:	212-256-2573

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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Directions to “BETH ISRAEL MEDICAL CENTER ” Practice Location

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