| Wakefield Ambulatory Care Center | |
|
4234 Bronx Blvd Bronx NY 10466-2611 | |
| (347) 341-4300 | |
| Not Available |
| Full Name | Wakefield Ambulatory Care Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4234 Bronx Blvd, Bronx, New York |
| Authorized Official Name and Position | Michael 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 |
|---|---|
| Wakefield Ambulatory Care Center 100 Corporate Dr Yonkers NY 10701-6807 Ph: (914) 378-6163 | Wakefield Ambulatory Care Center 4234 Bronx Blvd Bronx NY 10466-2611 Ph: (347) 341-4300 |
| NPI Number | 1144228099 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144228099 | NPI | - | NPPES |
| 02553753 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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