| Bronx Modern Medical. Pc | |
|
446 East 149th Street Bronx NY 10455-1200 | |
| (718) 676-4600 | |
| (718) 676-4603 |
| Full Name | Bronx Modern Medical. Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 446 East 149th Street, Bronx, New York |
| Authorized Official Name and Position | Ray C Miranda (OWNER) |
| Authorized Official Contact | 7186764600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Modern Medical. Pc 446 East 149th Street Bronx NY 10455-1200 Ph: (718) 676-4600 | Bronx Modern Medical. Pc 446 East 149th Street Bronx NY 10455-1200 Ph: (718) 676-4600 |
| NPI Number | 1669785150 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669785150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 217149 (New York) | Primary |
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