Bronx Borough Medical Practice Pc
LBN: Bronx Borough Medical Practice Pc
Bronx Borough Medical Practice Pc is an health care organization with primary practice located at 2494 Williamsbridge Rd , Bronx NY 10469-4806. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Bronx Borough Medical Practice Pc can be contacted via phone (914) 395-3691, or through Sullivan, Mack Lee via phone (914) 395-3691.
Contact Information
Primary practice address
2494 Williamsbridge Rd
Bronx NY 10469-4806
Phone: (914) 395-3691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X |
Profile Details
| NPI number | 1124590641 |
|---|---|
| LBN Legal business name | Bronx Borough Medical Practice Pc |
| DBA Doing business as | |
| Authorized official | Sullivan, Mack Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2018 |
| Last updated | Dec 21st, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124590641 | NPPES |
| New York | Other | 115019 | LICENSE |
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