Basic Information
| Provider Information | |||||||||
| NPI: | 1992916878 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BETH ISRAEL MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2056 68TH ST | ||||||||
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| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112044615 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 16TH STREET FIRST AVENUE | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124202000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | PANG | ||||||||
| AuthorizedOfficialFirstName: | XIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | INTERNAL MEDICINE | ||||||||
| AuthorizedOfficialTelephone: | 9178617609 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.