# MEDALLIANCE MEDICAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDALLIANCE MEDICAL HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114232311
- **Legal business name:** MEDALLIANCE MEDICAL HEALTH SERVICES
- **Authorized official:** MISS GERALDINE ANN MARAJ MBA (ADMINISTRATOR)
- **Authorized official phone:** (718) 933-1900

## Contact information

- **Practice address:** 625 E FORDHAM RD, BRONX, NY 10458-5049
- **Practice address phone:** (718) 933-1900
- **Practice address fax:** (718) 563-4039
- **Mailing address:** 518 E 149TH ST, BRONX, NY 10455-2812
- **Mailing address phone:** (718) 292-6110
- **Mailing address fax:** (718) 292-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 7000267R | NY | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 08/11/2010