Organization
BRONXCARE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR G DEMARCO CPA (SENIOR VP-CHIEF FINANCIAL OFFICER)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456
(718) 901-8600
(718) 293-1475
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8600
(718) 293-1475
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7000001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000163N
BLUE CROSS
NY
05
—
00476022
—
NY
Enumeration date
10/19/2006
Last updated
05/30/2018
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