Bronx Park Medical Surgical Associates Pc

LBN: Bronx Park Medical Surgical Associates Pc
Bronx Park Medical Surgical Associates Pc is an health care organization with primary practice located at 2016 Bronxdale Ave Suite 202, Bronx NY 10462-3388. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bronx Park Medical Surgical Associates Pc can be contacted via phone (718) 863-8695, or through Dirusso, Stephen via phone (718) 960-6126.

Contact Information

Primary practice address
2016 Bronxdale Ave Suite 202 Bronx NY 10462-3388
Phone: (718) 863-8695
Fax: (718) 863-5147
Website:
Map and Directions
Authorized official contact:
Name: Dirusso, Stephen Doctor of Medicine (MD)
Phone: (718) 960-6126

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1043410269
LBN Legal business name Bronx Park Medical Surgical Associates Pc
DBA Doing business as
Authorized official Dirusso, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043410269 NPPES
New York Other W38541 MEDICARE GROUP PROVIDER #

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