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NPI 1740586643

OrganizationActive

Beth Izreal Medical Center

NPI 1740586643 · Methadone Clinic · New York, NY

Provider details

NPI number: 1740586643
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Authorized official: Randy Sewald, Medical Director
License: 2511501 (NY)

Practice location

132 W 125th St

6th Floor

New York, NY 10027-4439

Phone: (212) 864-0904

Fax: (212) 865-6128

More NY providers

Mailing address

132 W 125th St

New York, NY 10027-4439

Registry dates

Enumerated: 2011-02-10
Last updated: 2011-02-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Beth Izreal Medical Center — NPI 1740586643, New York, NY | NPI Central