| Bronxcare Health & Wellness | |
|
199 Mount Eden Pkwy Bronx NY 10457 | |
| (718) 901-8600 | |
| (718) 293-1475 |
| Full Name | Bronxcare Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 Mount Eden Pkwy, Bronx, New York |
| Authorized Official Name and Position | Victor George Demarco (SVP/CFO) |
| Authorized Official Contact | 7189018600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronxcare Health & Wellness 1276 Fulton Ave Fl 3 Bronx NY 10456-3402 Ph: (718) 901-8600 | Bronxcare Health & Wellness 199 Mount Eden Pkwy Bronx NY 10457 Ph: (718) 901-8600 |
| NPI Number | 1831515154 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 02/06/2020 |
| Medicare PECOS PAC ID | 3870404429 |
|---|---|
| Medicare Enrollment ID | O20140331001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831515154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7000001H (New York) | Primary |
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