Organization
MONTEFIORE MEDICAL PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFSANA SHARMIN PA (PHYSICIAN ASSISTANT)
(646) 238-4864
Entity
Organization
Contact information
Practice address
1625 POPLAR ST, RADIOLOGY SUITE#100, BRONX, NY 10461-2653
(718) 405-8440
Mailing address
2266 GLEASON AVE APT 6A, BRONX, NY 10462-5113
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
011243-1
NY
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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