MEDICARE: ALBERT EINSTEIN COLLEGE OF MEDICINE

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	251S00000X	Community/Behavioral Health Agency	68-016994	NY

General Provider Information

NPI Number	:	1780707224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT EINSTEIN COLLEGE OF MEDICINE

Provider Business Mailing Address
First Line	:	1521 JARRET PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2606
Country	:	US
Telephone Number	:	718-430-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 JARRET PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2606
Country	:	US
Telephone Number	:	718-430-4100
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT PROFESSOR OF PEDIATRICS
Name	:	DR. ANNE MURPHY
Credential	:	PHD
Telephone Number	:	718-430-4100

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	06/12/2008

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