| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 779 Melrose Avenue, Bronx, New York |
| Authorized Official Name and Position | Richard J Beira (OWNER) |
| Authorized Official Contact | 2017878845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
779 Melrose Avenue Bronx NY 10451 Ph: (914) 629-0989 | 779 Melrose Avenue Bronx NY 10451 Ph: (914) 629-0989 |
| NPI Number | 1407147267 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 04/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407147267 | NPI | - | NPPES |
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