1316385321 NPI number — B&L HEALTH INC. DBA ALLHEALTH DIAGNOSTIC AND TREATMENT CENTER

Table of content: (NPI 1316385321)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316385321 NPI number — B&L HEALTH INC. DBA ALLHEALTH DIAGNOSTIC AND TREATMENT CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
B&L HEALTH INC. DBA ALLHEALTH DIAGNOSTIC AND TREATMENT CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316385321
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 W 58TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10019-1476
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-757-7010
Provider Business Mailing Address Fax Number:
212-245-2067

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 CONEY ISLAND AVE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11230-2344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-434-2100
Provider Business Practice Location Address Fax Number:
929-210-8227
Provider Enumeration Date:
06/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
ZILBER
Authorized Official First Name:
NORA
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
718-434-2100

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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