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YESHIVA UNIVERSITY NPI 1891837910


NPI Information

NPI: 1891837910
Provider Name: YESHIVA UNIVERSITY
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
1500 WATERS PLACE
BPC BETTY PARKER BLDG WD 20 6TH FL
BRONX, NY
ZIP 10461
Phone: (718) 409-9450
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YESHIVA UNIVERSITY is a methadone clinic center in Bronx, 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. YESHIVA UNIVERSITY NPI is 1891837910. The provider is registered as an organization entity type.

The provider's business location address is:

1500 WATERS PLACE
BPC BETTY PARKER BLDG WD 20 6TH FL
BRONX, NY
ZIP 10461
Phone: (718) 409-9450
Fax: (718) 931-1432

The provider's authorized official is Emanuel Genn .
The authorized official title is Associate Dean Of Business Affairs and has the following contact phone number (718) 409-9450.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100245643MEDICAIDNEW YORK

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: 11/14/2023

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