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1826 Arthur Ave Bronx NY 10457-6601 | |
| (718) 466-2214 | |
| (718) 299-7418 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1826 Arthur Ave, Bronx, New York |
| Authorized Official Name and Position | Maritza Giraldo (BILLING DIRECTOR) |
| Authorized Official Contact | 3473966234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
42-09 28th Street Lic NY 11101 Ph: (347) 396-6234 | 1826 Arthur Ave Bronx NY 10457-6601 Ph: (718) 466-2214 |
| NPI Number | 1467480426 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467480426 | NPI | - | NPPES |
| 00247618 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 002476181191 (New York) | Primary |
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