| Treating Physician Medical Care P.c. | |
|
953 Southern Blvd Bronx NY 10459-3428 | |
| (347) 590-2707 | |
| (347) 590-2706 |
| Full Name | Treating Physician Medical Care P.c. |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 953 Southern Blvd, Bronx, New York |
| Authorized Official Name and Position | Joseph Abraham Grossman (OWNER) |
| Authorized Official Contact | 3475902707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treating Physician Medical Care P.c. 140 Riverside Blvd Suite 811 New York NY 10069-0608 Ph: () - | Treating Physician Medical Care P.c. 953 Southern Blvd Bronx NY 10459-3428 Ph: (347) 590-2707 |
| NPI Number | 1295084978 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295084978 | NPI | - | NPPES |
| 00116569 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 081056 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 081056 (New York) | Primary |
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