Provider Demographics
NPI:1881815934
Name:BETH ISRAEL HOSPITAL
Entity Type:Organization
Organization Name:BETH ISRAEL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:DR
Authorized Official - First Name:KUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:ETWARU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-420-2890
Mailing Address - Street 1:3026 GOMER ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2724
Mailing Address - Country:US
Mailing Address - Phone:646-209-2342
Mailing Address - Fax:
Practice Address - Street 1:BETH ISRAEL HOSPITAL
Practice Address - Street 2:16TH STREET FIRST AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-2860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209849282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren