Organization
MEDALLIANCE MEDICAL HEALTH SERVICES
Active
Parent organization
MEDALLIANCE MEDICAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDALLIANCE MEDICAL HEALTH SERVICES
Authorized official
MISS GERALDINE ANN MARAJ MBA (ADMINISTRATOR)
(718) 933-1900
Entity
Organization
Contact information
Practice address
625 E FORDHAM RD, BRONX, NY 10458-5049
(718) 933-1900
(718) 563-4039
Mailing address
518 E 149TH ST, BRONX, NY 10455-2812
(718) 292-6110
(718) 292-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
7000267R
NY
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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