Organization · NPI-2

Hamilton Medical Plaza PC

Local Education Agency (LEA) · Bronx, NY

NPI number1346775350
StatusActive
Last updated in NPPESApr 27, 2017

Details

NPI
1346775350
Entity type
Organization (NPI-2)
Legal business name
Hamilton Medical Plaza PC
Organization subpart
No
Enumeration date
Apr 27, 2017
Last updated
Apr 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251300000X Local Education Agency (LEA)––Yes

Practice location

820 Saint Anns Ave
Bronx, NY 10456-7885

Phone 718-215-8280 · Fax 718-744-2842

Mailing address

1865 Amsterdam Ave
New York, NY 10031-1716

Phone 718-215-8280 · Fax 718-744-2842

Authorized official

Jean Yves Dastain
Owner
7182158280

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