| Buxton Family Practice Pllc | |
|
1250 Waters Pl Ste 507 Bronx NY 10461-2732 | |
| (718) 892-7770 | |
| (178) 897-7771 |
| Full Name | Buxton Family Practice Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1250 Waters Pl Ste 507, Bronx, New York |
| Authorized Official Name and Position | Wayne Patrick Joseph (PHYSICAN) |
| Authorized Official Contact | 7188927770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buxton Family Practice Pllc 3059 Edson Ave Bronx NY 10469-3225 Ph: (718) 892-7770 | Buxton Family Practice Pllc 1250 Waters Pl Ste 507 Bronx NY 10461-2732 Ph: (718) 892-7770 |
| NPI Number | 1376759720 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376759720 | NPI | - | NPPES |
| 2119400 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 219669 (New York) | Primary |
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