# NEIGHBORHOOD FAMILY MEDICAL WELLNESS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982839833
- **Authorized official:** DR. ETERI TETROK M.D. (OWNER)
- **Authorized official phone:** (718) 293-2626

## Contact information

- **Practice address:** 3706 3RD AVE, BRONX, NY 10456-2145
- **Practice address phone:** (718) 293-2626
- **Practice address fax:** (718) 293-2627
- **Mailing address:** 4006 3RD AVE, P.O. BOX 570-392, BRONX, NY 10457-7533
- **Mailing address phone:** (718) 293-2626
- **Mailing address fax:** (718) 293-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 214065 | NY | Yes |

## Other

- **Enumeration date:** 05/21/2009
- **Last updated:** 05/21/2009
