| Sports Medicine Specialist P.c. | |
|
1578 Williamsbridge Rd # 3d Bronx NY 10461-6265 | |
| (347) 418-6618 | |
| Not Available |
| Full Name | Sports Medicine Specialist P.c. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1578 Williamsbridge Rd # 3d, Bronx, New York |
| Authorized Official Name and Position | Romulo Vasquez (CEO) |
| Authorized Official Contact | 3474186618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine Specialist P.c. 3235 83rd St East Elmhurst NY 11370-2007 Ph: (347) 418-6618 | Sports Medicine Specialist P.c. 1578 Williamsbridge Rd # 3d Bronx NY 10461-6265 Ph: (347) 418-6618 |
| NPI Number | 1023638012 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023638012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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