Provider Demographics
NPI:1689903940
Name:PATHWAYS TO HEALTH, LLC
Entity Type:Organization
Organization Name:PATHWAYS TO HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE SPECIALIST, ADULT PS
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BEZMEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN,CS
Authorized Official - Phone:631-642-2200
Mailing Address - Street 1:77 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-1419
Mailing Address - Country:US
Mailing Address - Phone:631-642-2200
Mailing Address - Fax:631-642-2195
Practice Address - Street 1:77 SHORE RD
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-1419
Practice Address - Country:US
Practice Address - Phone:631-642-2200
Practice Address - Fax:631-642-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230366-1261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty