Organization · NPI-2

121 Medical P.C.

Family Medicine · Bronx, NY

NPI number1235762899
StatusActive
Last updated in NPPESMay 29, 2026

Details

NPI
1235762899
Entity type
Organization (NPI-2)
Legal business name
121 Medical P.C.
Organization subpart
No
Enumeration date
Feb 21, 2020
Certification date
May 29, 2026
Last updated
May 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • El Socorro Mvds (Doing Business As)

Practice location

2711 Henry Hudson Pkwy Apt 2a
Bronx, NY 10463-4714

Phone 212-567-4931

Mailing address

2711 Henry Hudson Pkwy Apt 2a
Bronx, NY 10463-4714

Phone 212-567-4931

Authorized official

Janil Cruz
Office Manager
2125674931

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