Organization
PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMI ALMEDA (CREDENTIALING MANAGER)
(224) 318-0118
Entity
Organization
Contact information
Practice address
2157 WHITE PLAINS RD STE A, BRONX, NY 10462
(718) 301-1100
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(718) 301-1100
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
06/04/2020
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