Organization
BRONX MEDICAL HEALTH PROVIDER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPEOLUWA ELEYINAFE (PRESIDENT)
(347) 634-2447
Entity
Organization
Contact information
Practice address
8027 135TH ST, JAMAICA, NY 11435-1029
(718) 544-1200
Mailing address
55 E 190TH ST, BRONX, NY 10468-4574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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