Organization · NPI-2

1561 Westchester Avenue Medical Offices, PLLC

Internal Medicine · Bronx, NY

NPI number1902035470
StatusActive
Last updated in NPPESJul 6, 2009

Details

NPI
1902035470
Entity type
Organization (NPI-2)
Legal business name
1561 Westchester Avenue Medical Offices, PLLC
Organization subpart
No
Enumeration date
Jul 6, 2009
Last updated
Jul 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine154855NYYes

Practice location

1561 Westchester Ave
Bronx, NY 10472-2912

Phone 718-842-8900 · Fax 718-589-7952

Mailing address

1561 Westchester Ave
Bronx, NY 10472-2912

Phone 718-842-8900 · Fax 718-589-7952

Authorized official

Prakash H Shah
Owner
7188428900

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