| Cmors Medical, P.c. | |
|
3130 Grand Concourse Suite B4 Bronx NY 10458-1213 | |
| (718) 367-8800 | |
| (718) 367-4047 |
| Full Name | Cmors Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3130 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Thomas G Obrien (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7183678800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmors Medical, P.c. 3130 Grand Concourse Suite B4 Bronx NY 10458-1213 Ph: (718) 367-8800 | Cmors Medical, P.c. 3130 Grand Concourse Suite B4 Bronx NY 10458-1213 Ph: (718) 367-8800 |
| NPI Number | 1285794024 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285794024 | NPI | - | NPPES |
| 021579 | Other | NY | MEDICAL LICENSE |
| 028117 | Other | NY | MEDICAL LICENSE |
| 210513 | Other | NY | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 210513 (New York) | Primary |
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