| Kingsbridge Medical Services, Pllc | |
|
5546 Broadway Bronx NY 10463-5250 | |
| (917) 688-4590 | |
| (917) 688-4591 |
| Full Name | Kingsbridge Medical Services, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5546 Broadway, Bronx, New York |
| Authorized Official Name and Position | Rajesh Gupta (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9176884590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsbridge Medical Services, Pllc 5546 Broadway Bronx NY 10463-5250 Ph: (917) 688-4590 | Kingsbridge Medical Services, Pllc 5546 Broadway Bronx NY 10463-5250 Ph: (917) 688-4590 |
| NPI Number | 1275026635 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275026635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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