|
| |
|
2510 Westchester Avenue Westchester Square Health Center Bronx NY 10461-3585 | |
| (855) 681-8700 | |
| (718) 299-1420 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2510 Westchester Avenue, Bronx, New York |
| Authorized Official Name and Position | Emma E. Mckinney (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 8457453611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5036 White Plains NY 10602-5036 Ph: (914) 734-8800 | 2510 Westchester Avenue Westchester Square Health Center Bronx NY 10461-3585 Ph: (855) 681-8700 |
| NPI Number | 1083197719 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083197719 | NPI | - | NPPES |
| W38731 | Other | NY | GROUP MEDICARE |
| 00473038 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 5901200R (New York) | Primary |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |