Organization
FORDHAM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO-ANN SHAKARJIAN (OWNER)
(718) 733-2100
Entity
Organization
Contact information
Practice address
2430 DAVIDSON AVE FL 2, BRONX, NY 10468-6364
(718) 733-2100
Mailing address
2430 DAVIDSON AVE FL 2, BRONX, NY 10468-6364
(718) 733-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
190981
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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