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Organization

COMMUNITY MEDICAL CARE OF N.Y., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMAD RIAZ MD (PRESIDENT/OWNER)
(718) 294-5000
Entity
Organization

Contact information

Practice address
1963 GRAND CONCOURSE, 2ND FLOOR, BRONX, NY 10453-4994
(718) 294-5000
(718) 294-6060
Mailing address
1963 GRAND CONCOURSE, 2ND FLOOR, BRONX, NY 10453-4994
(718) 294-5000
(718) 294-6060

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
196049
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01548287
NY
Enumeration date
10/15/2009
Last updated
10/15/2009
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