| Bronx Lebanon Hospital Neurology | |
|
1650 Grand Concourse Bronx NY 10457 | |
| (718) 901-8918 | |
| Not Available |
| Full Name | Bronx Lebanon Hospital Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1650 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Victor George Demarco (CFO) |
| Authorized Official Contact | 7189018600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Lebanon Hospital Neurology 1276 Fulton Ave Room 208 Bronx NY 10456-3402 Ph: (718) 901-8918 | Bronx Lebanon Hospital Neurology 1650 Grand Concourse Bronx NY 10457 Ph: (718) 901-8918 |
| NPI Number | 1811236532 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811236532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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