Organization · NPI-2
1578 Medical Healthcare P.C.
Internal Medicine · Bronx, NY
NPI number1497634513
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1497634513
- Entity type
- Organization (NPI-2)
- Legal business name
- 1578 Medical Healthcare P.C.
- Organization subpart
- No
- Enumeration date
- Sep 2, 2025
- Certification date
- Sep 2, 2025
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1578 Williamsbridge Rd Ste 2dBronx, NY 10461-6266
Phone 718-360-5548
Mailing address
Po Box 70801aBrooklyn, NY 11207-0925
Phone 516-697-3799
Authorized official
Kamal Tadros
President
5166973799
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