Albert Enistein College of Medicine

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

952550787 Issued in NY

Legal business name

ALBERT ENISTEIN COLLEGE OF MEDICINE

Practice address

1510 Waters PL
Bronx, NY 10461-2700

Phone

(347) 493-8503

NPI assigned

Mar 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Latasha Green

Title

RN

Phone

(718) 994-4901

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1659797280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 SECOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612700",
            "telephone_number": "347-493-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT ENISTEIN COLLEGE OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "17189944901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "952550787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Einstein College of Medicine
• Albert Einstein College of Medicine
• Albert Einstein College of Medicine of Yeshiva University
• Albert Einstein College of Medicine of Yeshiva University
• Albert Einstein School of Medicine
• Albert Graziosa MD PC
• Andrea Marie Albert, RN
• Angela Albert
• Darlene Camilla Albert, BSN,RN
• Karen Y. Roslyn Albert, RN

• Substance Use Disorder Rehabilitation Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.