Atac Medical Care PC

Clinic/Center, Primary Care in Bronx, NY. Organization (NPI-2).

NPI number1497956544

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1497956544
Entity type: Organization (NPI-2)
Legal business name: Atac Medical Care PC
Organization subpart: No
Enumeration date: May 29, 2007
Last updated: Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2300X	Clinic/Center, Primary Care	180769	NY	Yes

Practice location

1619 Pelham Pkwy N
Bronx, NY 10469-6416

Phone 718-881-2716 · Fax 718-708-7790

Mailing address

1619 Pelham Pkwy N
Bronx, NY 10469-6416

Phone 718-881-2716 · Fax 718-708-7790

Authorized official

Bulent Sadik Atac
Doctor
7188812716

Is something wrong?

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