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Organization
KINGSBRIDGE COMMUNITY MEDICAL PC
Active
Organization
KINGSBRIDGE COMMUNITY MEDICAL PC
Active
Other names
Kingsbridge Community Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CHIARAMONTE MD (MEDICAL DIRECTOR)
(718) 543-0700
Entity
Organization
Contact information
Practice address
170 WEST 233RD STREET, SUITE 1A, BRONX, NY 10463
(718) 543-0700
(718) 543-0788
Mailing address
170 WEST 233RD STREET, SUITE 1A, BRONX, NY 10463
(718) 543-0700
(718) 543-0788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/28/2006
Last updated
03/11/2008
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