Organization · Type 2 NPI

1957 Bronx Medical P.c.

Specialist · Rego Park, NY

NPI number 1396008801 Active

Practice location

9924 64th Ave
Rego Park, NY 11374-2645

Call (917) 842-2854 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X221943 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396008801

1957 Bronx Medical P.c.'s National Provider Identifier is 1396008801, issued on Jun 19, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Jun 19, 2012.