Organization
BRONXCARE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DEMARCO (CFO)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 901-8600
Mailing address
1276 FULTON AVENUE, ROOM 208, BRONX, NY 10456
(718) 901-8918
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744072
—
NY
Enumeration date
12/12/2006
Last updated
02/06/2020
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