Organization
MOTT HAVEN PHCY AND SURGICALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT PATEL (SECRETARY)
(718) 292-9144
Entity
Organization
Contact information
Practice address
400 EAST 141 STREET, BRONX, NY 10454
(718) 292-9144
Mailing address
400 E 141ST ST, BRONX, NY 10454
(718) 292-9144
(718) 292-9145
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3349811
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
10/27/2010
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