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4401 Bronx Blvd Bronx NY 10470-1407 | |
| (914) 378-6163 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4401 Bronx Blvd, Bronx, New York |
| Authorized Official Name and Position | Michael G. Dowling (DIRECTOR OF PROVIDER SERVICES) |
| Authorized Official Contact | 9143774668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Corporate Dr Cmo Yonkers NY 10701-6807 Ph: (914) 378-6163 | 4401 Bronx Blvd Bronx NY 10470-1407 Ph: (914) 378-6163 |
| NPI Number | 1396991790 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396991790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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