# SOUTH MEDICAL SERVICES NY PC

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

## Provider details

- **NPI number:** 1740063478
- **Authorized official:** JUAN DELACRUZ (PRESIDENT)
- **Authorized official phone:** (646) 580-1876

## Contact information

- **Practice address:** 563 E TREMONT AVE, BRONX, NY 10457-4655
- **Practice address phone:** (646) 580-1876
- **Mailing address:** 563 E TREMONT AVE, BRONX, NY 10457-4655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2023
- **Last updated:** 08/16/2023