Organization
BRONXCARE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR G DEMARCO CPA (SENIOR VP-CHIEF FINANCIAL OFFICER)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456
(718) 901-8600
(718) 293-1475
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8600
(718) 293-1475
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7000001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02671401
—
NY
Enumeration date
11/17/2006
Last updated
05/31/2018
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