| First Avenue Medical P C | |
|
486 E Tremont Ave Bronx NY 10457-4437 | |
| (646) 393-5146 | |
| (646) 393-5150 |
| Full Name | First Avenue Medical P C |
|---|---|
| Speciality | Behavior Analyst |
| Location | 486 E Tremont Ave, Bronx, New York |
| Authorized Official Name and Position | Jose R Sanchez Pena (PRESIDENT) |
| Authorized Official Contact | 2015330972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Avenue Medical P C 550 Newark Ave Ste 401 Jersey City NJ 07306-1354 Ph: (862) 222-0566 | First Avenue Medical P C 486 E Tremont Ave Bronx NY 10457-4437 Ph: (646) 393-5146 |
| NPI Number | 1588844617 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588844617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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