# NORTH CENTRAL BRONX HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467613190
- **Authorized official:** MS. CAROL CLARKE N.P (NURSE PRACTIONER)
- **Authorized official phone:** (718) 519-4939

## Contact information

- **Practice address:** 1112 COLONY DR, HARTSDALE, NY 10530-1721
- **Practice address phone:** (914) 946-7145
- **Mailing address:** 1112 COLONY DR, HARTSDALE, NY 10530-1721
- **Mailing address phone:** (914) 946-7145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | F420339 | NY | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 06/25/2008