Bronx Internal Medicine Associates P.c. | |
4422 3rd Ave Bronx NY 10457-2545 | |
(718) 960-6205 | |
Not Available |
Full Name | Bronx Internal Medicine Associates P.c. |
---|---|
Speciality | Internal Medicine |
Location | 4422 3rd Ave, Bronx, New York |
Authorized Official Name and Position | Malcolm Phillips (PRESIDENT) |
Authorized Official Contact | 7189606205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bronx Internal Medicine Associates P.c. 4422 3rd Ave Bronx NY 10457-2545 Ph: (718) 960-6205 | Bronx Internal Medicine Associates P.c. 4422 3rd Ave Bronx NY 10457-2545 Ph: (718) 960-6205 |
NPI Number | 1356385686 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 01/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356385686 | NPI | - | NPPES |
01917591 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 035208 (New York) | Primary |
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