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731 White Plains Rd Bronx NY 10473-2631 | |
| (718) 589-8324 | |
| (718) 860-1838 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 731 White Plains Rd, Bronx, New York |
| Authorized Official Name and Position | Pedro Espada (PRESIDENT & CEO) |
| Authorized Official Contact | 7185892232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
731 White Plains Rd Bronx NY 10473-2631 Ph: (718) 589-8324 | 731 White Plains Rd Bronx NY 10473-2631 Ph: (718) 589-8324 |
| NPI Number | 1578564001 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 02/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578564001 | NPI | - | NPPES |
| 7000239R | Other | NY | OPERATING CERTIFICATE |
| 00665274 | Medicaid | NY |
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