# BRONX METRO HEALTHCARE MEDICAL PC

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

## Provider details

- **NPI number:** 1942520358
- **Authorized official:** DR. DAVID KHASIDY MD (DIRECTOR)
- **Authorized official phone:** (718) 618-7522

## Contact information

- **Practice address:** 432 E 149TH ST, BRONX, NY 10455-1343
- **Practice address phone:** (718) 618-7522
- **Practice address fax:** (718) 618-7566
- **Mailing address:** 432 E 149TH ST, BRONX, NY 10455-1343
- **Mailing address phone:** (718) 618-7522
- **Mailing address fax:** (718) 618-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 163002 | NY | Yes |
| 207R00000X | Internal Medicine Physician | 163002 | NY | — |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 06/08/2010