# DOWNTOWN BRONX MEDICAL ASSOCIATES P.C.

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

## Provider details

- **NPI number:** 1790833028
- **Authorized official:** MR. PETER I. GORDON (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (718) 579-6017

## Contact information

- **Practice address:** 506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
- **Practice address phone:** (212) 939-1649
- **Mailing address:** 3465 ICHABOD CT, YORKTOWN HEIGHTS, NY 10598-2113
- **Mailing address phone:** (917) 841-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 006007 | NY | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/19/2008