NPI 1255643193

Alberteinstein College of Medicine

Organisation Health Maintenance Organization Bronx, NY

Practice location

Address: 804 E 138th St, Bronx, NY 10454-1902
Phone: (718) 665-7500
Fax: (718) 665-4768

Authorised official

Name: Benny Padgett
Title: Substance Abuse Counselor II
Phone: (718) 665-7500

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 302R00000X (NY)

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Registry record

NPI: 1255643193
Entity type: Organization
NPI issued: 8 Jul 2010
Record last updated: 8 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.