Organization
BRONX PARK REHABILITATION & SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA AKKAPEDDI M.D. (SUPERVISOR)
(718) 430-7605
Entity
Organization
Contact information
Practice address
2016 BRONXDALE AVE, SUITE 101, BRONX, NY 10462-3388
(718) 918-9702
(845) 942-8623
Mailing address
2016 BRONXDALE AVE, SUITE 101, BRONX, NY 10462-3388
(718) 918-9702
(845) 942-8623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205629
NY
Other
Enumeration date
05/10/2007
Last updated
03/24/2015
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