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Organization
BRONXCARE HEALTH SYSTEM
Active
Organization
BRONXCARE HEALTH SYSTEM
Active
Parent organization
BRONXCARE HEALTH SYSTEM
Other names
BronxCare Fulton Family Medicine Practice, Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRONXCARE HEALTH SYSTEM
Authorized official
VICTOR GEORGE DEMARCO (CFO)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1276 FULTON AVE FL 3, BRONX, NY 10456-3499
(718) 992-7669
Mailing address
1276 FULTON AVE, ROOM 208, BRONX, NY 10456-3402
(718) 901-8918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
03/10/2020
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