# BRONXCARE SPECIAL CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BronxCare Special Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104861541
- **Authorized official:** VICTOR GEORGE DEMARCO (CFO)
- **Authorized official phone:** (718) 901-8600

## Contact information

- **Practice address:** 1276 FULTON AVE, 6TH FLOOR, BRONX, NY 10456
- **Practice address phone:** (718) 579-7006
- **Practice address fax:** (718) 579-7401
- **Mailing address:** 1265 FULTON AVE, BRONX, NY 10456-3401
- **Mailing address phone:** (718) 579-7006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 025609 | NY | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 11/26/2019