# 1211 WPR MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 1211 WPR MEDICAL PC
- **Other names:** Westchester Medical HealthCare, Parkchester Medical Services of NY, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437247509
- **Legal business name:** 1211 WPR MEDICAL PC
- **Authorized official:** AMY CAROL POLAN (AM)
- **Authorized official phone:** (718) 828-6610

## Contact information

- **Practice address:** 1211 WHITE PLAINS RD, BRONX, NY 10472-4900
- **Practice address phone:** (718) 082-8066
- **Practice address fax:** (718) 829-9132
- **Mailing address:** 1211 WHITE PLAINS RD, BRONX, NY 10472-4900
- **Mailing address phone:** (718) 828-6610
- **Mailing address fax:** (718) 829-9132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 0810561 | NY | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/30/2021