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Organization
SOUTH BRONX MEDICAL
Active
Organization
SOUTH BRONX MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEESHA N MOHAMMED (OPERATIONS MANAGER)
(855) 699-7246
Entity
Organization
Contact information
Practice address
951 BROOK AVE, BRONX, NY 10451-4209
(855) 699-7246
(718) 766-9763
Mailing address
PO BOX 110, NUTLEY, NJ 07110-0110
(855) 699-7246
(718) 766-9763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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