Provider Demographics
NPI: | 1073716981 |
---|---|
Name: | BETH ISRAEL MEDICAL CENTER |
Entity Type: | Organization |
Organization Name: | BETH ISRAEL MEDICAL CENTER |
Other - Org Name: | HEMATOLOGY ONCOLOGY AT BI |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRACTICE MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | EILEEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LORENZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 212-844-8288 |
Mailing Address - Street 1: | 10 UNION SQ E |
Mailing Address - Street 2: | SUITE 4 C |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10003-3314 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 212-844-8288 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 10 UNION SQ E |
Practice Address - Street 2: | SUITE 4 C |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10003-3314 |
Practice Address - Country: | US |
Practice Address - Phone: | 212-844-8288 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-06-07 |
Last Update Date: | 2008-08-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Single Specialty |