| Fordham Medical Pc | |
|
2430 Davidson Ave Fl 2 Bronx NY 10468-6364 | |
| (718) 733-2100 | |
| Not Available |
| Full Name | Fordham Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2430 Davidson Ave Fl 2, Bronx, New York |
| Authorized Official Name and Position | Jo-ann Shakarjian (OWNER) |
| Authorized Official Contact | 7187332100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fordham Medical Pc 2430 Davidson Ave Fl 2 Bronx NY 10468-6364 Ph: (718) 733-2100 | Fordham Medical Pc 2430 Davidson Ave Fl 2 Bronx NY 10468-6364 Ph: (718) 733-2100 |
| NPI Number | 1083082960 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083082960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 190981 (New York) | Primary |
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