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United States Marine Corps

Military Hospital in Bronx, NY. Organization (NPI-2).

NPI number1497048151
StatusActive
Last updated in NPPESMay 26, 2011

Details

NPI
1497048151
Entity type
Organization (NPI-2)
Legal business name
United States Marine Corps
Organization subpart
No
Enumeration date
May 26, 2011
Last updated
May 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
286500000X Military Hospital––Yes

Practice location

2488 Grand Concourse Rm 204
Bronx, NY 10458-5207

Phone 718-938-0696 · Fax 718-367-6212

Mailing address

2488 Grand Concourse Rm 204
Bronx, NY 10458-5207

Phone 718-938-0696 · Fax 718-367-6212

Authorized official

Erwin Membreno
Military
7189380696

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