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Organization
BRONXCARE SPECIAL CARE CENTER
Active
Organization
BRONXCARE SPECIAL CARE CENTER
Active
Other names
BronxCare Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GEORGE DEMARCO (CFO)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1276 FULTON AVE, 6TH FLOOR, BRONX, NY 10456
(718) 579-7006
(718) 579-7401
Mailing address
1265 FULTON AVE, BRONX, NY 10456-3401
(718) 579-7006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
025609
NY
Other
Enumeration date
06/19/2006
Last updated
11/26/2019
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