# BRONXCARE HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRONXCARE HEALTH SYSTEM
- **Other names:** BronxCare Fulton Family Medicine Practice, Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801131123
- **Legal business name:** BRONXCARE HEALTH SYSTEM
- **Authorized official:** VICTOR GEORGE DEMARCO (CFO)
- **Authorized official phone:** (718) 901-8600

## Contact information

- **Practice address:** 1276 FULTON AVE FL 3, BRONX, NY 10456-3499
- **Practice address phone:** (718) 992-7669
- **Mailing address:** 1276 FULTON AVE, ROOM 208, BRONX, NY 10456-3402
- **Mailing address phone:** (718) 901-8918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 03/10/2020