NPI 1285948570

Bethabraham Hospital

Organisation Rehabilitation Hospital Unit Bronx, NY

Practice location

Address: 3936 Barnes Ave, Bronx, NY 10466-4313
Phone: (646) 415-1121

Authorised official

Name: Lorna Decarla Innis
Title: Ota/Ota
Phone: (646) 415-1121

Registered specialties (5)

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X Licence 006625-1 (NY)

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Local Education Agency (LEA)

Agencies Taxonomy 251300000X Licence 006625-1 (NY)

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence 006625-1 (NY)

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence 006625-1 (NY)

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 006625-1 (NY)

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Registry record

NPI: 1285948570
Entity type: Organization
NPI issued: 29 Jul 2010
Record last updated: 29 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.