Organization · Type 2 NPI

CCN General Medicine PLLC

Primary Care Clinic/Center · Bronx, NY

NPI number 1902120025 Active

Practice location

1262 Boston Rd, Suite 2
Bronx, NY 10456-3602

Call (718) 569-7929 Map

Fax (347) 590-5482

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Primary Care Clinic/Center Primary 261QP2300X255626 (NY)

Primary Care Clinic/Center: Definition to come...

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About NPI 1902120025

CCN General Medicine PLLC's National Provider Identifier is 1902120025, issued on Mar 18, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bronx, NY. The record was last updated on Mar 23, 2026.