| Ambulatory Care Network | |
|
1650 Grand Concourse Bronx NY 10457 | |
| (718) 901-8600 | |
| (718) 293-1457 |
| Full Name | Ambulatory Care Network |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1650 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Victor G Demarco (SENIOR VP-CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189018600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambulatory Care Network 1276 Fulton Ave Fl 3 Bronx NY 10456-3402 Ph: (718) 901-8600 | Ambulatory Care Network 1650 Grand Concourse Bronx NY 10457 Ph: (718) 901-8600 |
| NPI Number | 1053790147 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053790147 | NPI | - | NPPES |
| 000163N | Other | NY | BLUE CROSS |
| 00476022 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7000001H (New York) | Primary |
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