Organization · NPI-2

Bronxcare Health System

General Practice · Bronx, NY

NPI number1194060418

StatusActive

Last updated in NPPESMar 10, 2020

Details

NPI: 1194060418
Entity type: Organization (NPI-2)
Legal business name: Bronxcare Health System
Organization subpart: Yes
Enumeration date: Nov 28, 2012
Certification date: Mar 10, 2020
Last updated: Mar 10, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208D00000X	General Practice	–	–	Yes
207K00000X	Allergy & Immunology	–	–
207N00000X	Dermatology	–	–
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207RN0300X	Internal Medicine, Nephrology	–	–
207RR0500X	Internal Medicine, Rheumatology	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
208M00000X	Hospitalist	–	–

Other names

Medicine (Other Name)

Practice location

1650 Grand Concourse
Bronx, NY 10457

Phone 718-901-8918

Mailing address

1276 Fulton Ave
Room 208
Bronx, NY 10456-3402

Phone 718-901-8918

Authorized official

Victor George Demarco
Cfo
7189018600

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