| Bronxcare Health System | |
|
1276 Fulton Ave Bronx NY 10456 | |
| (718) 901-8600 | |
| (718) 293-1475 |
| Full Name | Bronxcare Health System |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1276 Fulton Ave, Bronx, New York |
| Authorized Official Name and Position | Victor G Demarco (SENIOR VP-CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189018600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronxcare Health System 1276 Fulton Ave Bronx NY 10456-3402 Ph: (718) 901-8600 | Bronxcare Health System 1276 Fulton Ave Bronx NY 10456 Ph: (718) 901-8600 |
| NPI Number | 1083796213 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 05/30/2018 |
| Medicare PECOS PAC ID | 3870404429 |
|---|---|
| Medicare Enrollment ID | O20111221000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083796213 | NPI | - | NPPES |
| 000163N | Other | NY | BLUE CROSS |
| 00476022 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7000001H (New York) | Primary |
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