Organization
BRONXCARE HEALTH SYSTEM
Active
Parent organization
BRONXCARE HEALTH SYSTEM
Other names
Ambulatory Care Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRONXCARE HEALTH SYSTEM
Authorized official
MR. VICTOR G DEMARCO CPA (SENIOR VP-CHIEF FINANCIAL OFFICER)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 901-8600
(718) 293-1457
Mailing address
1276 FULTON AVE FL 3, BRONX, NY 10456-3402
(718) 901-8600
(718) 293-1475
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7000001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000163N
BLUE CROSS
NY
05
—
00476022
—
NY
Enumeration date
05/22/2015
Last updated
05/31/2018
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