BETH IZREAL MEDICAL CENTER NPI 1740586643

NPI Information

NPI: 1740586643
Provider Name: BETH IZREAL MEDICAL CENTER
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
132 W 125TH ST
6TH FLOOR
NEW YORK, NY
ZIP 10027
Phone: (212) 864-0904
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BETH IZREAL MEDICAL CENTER is a methadone clinic center in New York, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. BETH IZREAL MEDICAL CENTER NPI is 1740586643. The provider is registered as an organization entity type.

The provider's business location address is:

132 W 125TH ST
6TH FLOOR
NEW YORK, NY
ZIP 10027-439
Phone: (212) 864-0904
Fax: (212) 865-6128

The provider's authorized official is Randy Sewald .
The authorized official title is Medical Director and has the following contact phone number (212) 256-2573.

The enumeration date for this NPI number is 2/10/2011 and was last updated on 2/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	2511501	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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