| Bedford Park Medical Pc | |
|
1560 Grand Concourse Bronx NY 10457-8402 | |
| (917) 792-2087 | |
| Not Available |
| Full Name | Bedford Park Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1560 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Chaula P Patel (OWNER) |
| Authorized Official Contact | 7184901590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Park Medical Pc 9 Bayberry Rd Elmsford NY 10523-1701 Ph: () - | Bedford Park Medical Pc 1560 Grand Concourse Bronx NY 10457-8402 Ph: (917) 792-2087 |
| NPI Number | 1811483001 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Medicare PECOS PAC ID | 7810238060 |
|---|---|
| Medicare Enrollment ID | O20190416002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811483001 | NPI | - | NPPES |
| 00000 | Other | NY | NYS REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chaula P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861570558 PECOS PAC ID: 8022160258 Enrollment ID: I20090717000552 |
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