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Organization
DOWNTOWN BRONX MEDICAL ASSOCIATES P.C.
Active
Organization
DOWNTOWN BRONX MEDICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER I. GORDON (EXECUTIVE ADMINISTRATOR)
(718) 579-6017
Entity
Organization
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-1649
Mailing address
3465 ICHABOD CT, YORKTOWN HEIGHTS, NY 10598-2113
(917) 841-0102
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006007
NY
Other
Enumeration date
01/05/2007
Last updated
08/19/2008
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