| Bronx Medical Art Pc | |
|
932 174th Street Bronx NY 10460 | |
| (718) 378-0707 | |
| (718) 378-0700 |
| Full Name | Bronx Medical Art Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 932 174th Street, Bronx, New York |
| Authorized Official Name and Position | Ray C Miranda (OWNER) |
| Authorized Official Contact | 7183780707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Medical Art Pc 932 174th Street Bronx NY 10460 Ph: (718) 378-0707 | Bronx Medical Art Pc 932 174th Street Bronx NY 10460 Ph: (718) 378-0707 |
| NPI Number | 1235441056 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235441056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 217149 (New York) | Primary |
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